Individual provider Active NPI

Francisco Puentes, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Cartersville, GA
National Provider Identifier
1114006814
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
052479 Issued in GA
Practice address
40 Fox Chase
Cartersville, GA 30120-2491
Phone
(678) 400-2621
NPI assigned
Nov 3, 2006
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 052479 GA Primary

Addresses

Primary practice location

40 Fox Chase
Cartersville, GA 30120-2491

Mailing address

40 Fox Chase
Cartersville, GA 30120-2491
Phone (678) 400-2621

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL EndoMgr20@yahoo.com Health Information Exchange (HIE)

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
I20041014000124 GA Practitioner - EndocrinologyPractitioner - Internal Medicine 7214997204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

40 Fox Chase
Cartersville, GA 30120-2491

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Antonio V Baute, MD, LLC Current Accepting new patients
Endocrine Specialists of Georgia, LLC Endocrinology, Diabetes & Metabolism CurrentSince Nov 1, 2020 Accepting new patients
Family Care of Cartersville PC Past Accepting new patients
Complete Wellness of Calhoun, Inc. Past Accepting new patients

Locations

40 Fox Chase
Cartersville, GA 30120
Phone (678) 400-2621

Interoperability endpoints

  • Direct secure messaging: fpuentes421402@directwellstar.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/HCECCD/Endpoint/HCECCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IDGCCA

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 1

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1114006814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 FOX CHASE",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202491",
            "telephone_number": "678-400-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 FOX CHASE",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202491",
            "telephone_number": "678-400-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUENTES",
        "first_name": "FRANCISCO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "GA",
            "license": "052479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EndoMgr20@yahoo.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "40 Fox Chase",
            "city": "Cartersville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301202491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

Verify at the official NPI Registry.