Active NPI
Paul Joseph Giles, M.D.
- Interventional Cardiology Physician
- Vidalia, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 025159
- Practice address
- 1006 Mount Vernon Rd
Vidalia, GA 30474-3029 - Phone
- (912) 537-1221
- Fax
- (912) 537-1012
- NPI assigned
- Aug 9, 2005
- Last updated
- Nov 4, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 025159 | GA | |
| Cardiovascular Disease Physician | 207RC0000X | 025159 | GA | |
| Interventional Cardiology Physician | 207RI0011X | 025159 | GA | Primary |
Addresses
Primary practice location
1006 Mount Vernon Rd
Vidalia, GA 30474-3029
Mailing address
PO Box 407
Vidalia, GA 30475-0407
Phone (912) 537-4986
Other practice location 1
195 E Tollison St Ste A-B
Baxley, GA 31513-0172
Phone (912) 535-3500
Other practice location 2
11 Cross St
Hazlehurst, GA 31539-6427
Phone (912) 535-3500
Other practice location 3
101 Harris Industrial Blvd Ste A
Vidalia, GA 30474-8852
Phone (912) 535-3500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000348169R | Medicaid | GA | |
| 060062628 | Other | GA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Medical College of Georgia School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Harris Industrial Blvd
Suite a
Vidalia, GA 30474-8852
Phone (912) 538-8484
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.94 of 100
- Quality
- 76.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 28 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025159 | GA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Regional Primary Care Corporation | Current | Accepting new patients | |
| Meadows Multispecialty Associates, LLC | Current | Accepting new patients | |
| Cardiology Associates of Vidalia, P.C. | Interventional Cardiology | Past | Accepting new patients |
| Southeastern Cardiovascular Img, Inc. | Past | Accepting new patients |
Locations
195 E Tollison St
Ste Ab
Baxley, GA 31513
Phone (912) 533-3500
11 Cross St
Hazlehurst, GA 31539
Phone (912) 375-2884
101 Harris Industrial Blvd
Ste A
Vidalia, GA 30474
Phone (912) 535-3500
1707 Meadows Ln
Ste A
Vidalia, GA 30474
Phone (912) 538-0003
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- paul.giles@mrmc.gadirect.net
- paul.giles@srpcc.gadirect.net
- paul.gilesjr@hca5.eclinicaldirectplus.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Lyons, GA
- NPI 1952990533
-
- Multi-Specialty Clinic/Center
- Vidalia, GA
- NPI 1467568907
-
- Interventional Cardiology Physician
- Vidalia, GA
- NPI 1356530901
-
- Internal Medicine Physician
- Vidalia, GA
- NPI 1528264629
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Jeff Davis Hospital
- Critical Access Hospital
- Hazlehurst, GA
- NPI 1912902263
-
dba Memorial Satilla Health
- Rural Acute Care Hospital
- Waycross, GA
- NPI 1922530468
-
dba appling healthcare system
- General Acute Care Hospital
- Baxley, GA
- NPI 1861615304
-
- General Acute Care Hospital
- Vidalia, GA
- NPI 1790376564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604448000000",
"number": "1104827369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 407",
"city": "VIDALIA",
"state": "GA",
"postal_code": "304750407",
"telephone_number": "912-537-4986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1006 MOUNT VERNON RD",
"city": "VIDALIA",
"state": "GA",
"postal_code": "304743029",
"telephone_number": "912-537-1221",
"fax_number": "912-537-1012"
}
],
"practiceLocations": [
{
"address_1": "195 E Tollison St Ste A-B",
"address_purpose": "LOCATION",
"city": "Baxley",
"state": "GA",
"postal_code": "315130172",
"country_code": "US",
"telephone_number": "912-535-3500",
"fax_number": "912-537-1012",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11 Cross St",
"address_purpose": "LOCATION",
"city": "Hazlehurst",
"state": "GA",
"postal_code": "315396427",
"country_code": "US",
"telephone_number": "912-535-3500",
"fax_number": "912-537-1012",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 Harris Industrial Blvd Ste A",
"address_purpose": "LOCATION",
"city": "Vidalia",
"state": "GA",
"postal_code": "304748852",
"country_code": "US",
"telephone_number": "912-535-3500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILES",
"first_name": "PAUL",
"middle_name": "JOSEPH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2020-11-04",
"certification_date": "2020-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "025159",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "GA",
"license": "025159",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "GA",
"license": "025159",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000348169R",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "060062628",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vidalia, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.