Individual provider Active NPI

Paul Joseph Giles, M.D.

  • Interventional Cardiology Physician
  • Vidalia, GA
National Provider Identifier
1104827369
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
025159 Issued in GA
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000348169RMedicaidGA
060062628OtherGARAILROAD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040519000341 GA Practitioner - Cardiovascular Disease (Cardiology) 9234120361 Reassigns benefits to 1 organization

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
Meadows Multispecialty Associates LLCGroup PAC ID 6002223484, 28 clinicians

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 100Reported as apm
Quality
76.86
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
025159GAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Regional Primary Care Corporation Current Accepting new patients
Meadows Multispecialty Associates, LLC CurrentSince May 1, 2021 Accepting new patients
Cardiology Associates of Vidalia, P.C. Interventional Cardiology PastSince May 19, 2004 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

  • Direct secure messaging: paul.giles@mrmc.gadirect.net
  • Direct secure messaging: paul.giles@srpcc.gadirect.net
  • Direct secure messaging: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.