Donald Forrest Angle, MD
Individual provider Active NPI Emergency Medicine Physician · Lawrenceville, GA
NPI 1184669137 · NPPES record last updated Jul 17, 2025
Key facts
- NPI
- 1184669137
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 00012847 (AL)
- Practice address
- 1000 Medical Center Blvd
Lawrenceville, GA 30046-7694 - Phone
- (504) 957-3946
- NPI assigned
- Jun 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 53
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Louisiana State University School of Medicine in Shreveport, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emanuel County Hospital Authority
RH Arkansas Emergency Medicine PLLC
NWMC Emergency Physicians LLC
Southeastern Emergency Physicians LLC
Governor Juan F Luis Hospital and Medical Center
Practice addresses (Care Compare)
117 Kite Rd
Swainsboro, GA 30401-3231
Phone (478) 289-1341
1520 N Division St
Blytheville, AR 72315-1448
Phone (870) 838-7333
1530 US Hwy 43
Winfield, AL 35594-5056
Phone (205) 487-7773
1808 W Main St
Russellville, AR 72801-2724
Phone (501) 968-2841
4007 Estate Diamond Ruby
Christiansted, VI 00820-4435
Phone (340) 778-6311
Hospital & facility affiliations
- Ouachita County Medical Center
- St Marys Regional Medical Center
- Great River Medical Center
- North Mississippi Health Services - South Marion
- Magnolia Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (6 enrollments) in AL, FL, AR, GA, IL, VI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060504000580 | AL | Practitioner - Emergency Medicine |
0749265551 | Reassigns benefits to 7 organizations |
| I20121105000223 | FL | Practitioner - Emergency Medicine | 0749265551 | Reassigns benefits to 1 organization |
| I20200325001551 | AR | Practitioner - Emergency Medicine | 0749265551 | Reassigns benefits to 10 organizations |
| I20210806001005 | GA | Practitioner - Emergency Medicine | 0749265551 | Reassigns benefits to 5 organizations |
| I20231017000189 | IL | Practitioner - Emergency Medicine | 0749265551 | Reassigns benefits to 3 organizations |
| I20250903000039 | VI | Practitioner - Emergency Medicine | 0749265551 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15530 | LA | MD | Social Worker |
| 00012847 | AL | MD | Emergency Medicine Physician |
| 64891 | GA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inphynet Primary Care Physicians Southeast PC | Emergency Medicine | Current |
Accepting new patients |
| RH Arkansas Emergency Medicine, PLLC | Emergency Medicine | Current |
Accepting new patients |
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current |
Accepting new patients |
| Ivy Creek of Tallapoosa, LLC | Current |
Accepting new patients | |
| Donalsonville Hospital Inc | Current |
Accepting new patients | |
| Thomas H. Boyd Memorial Hospital | Current | Accepting new patients | |
| Nes Kentucky Inc | Emergency Medicine | Current |
Accepting new patients |
| Ivy Creek of Elmore, LLC | Family Medicine | Current |
Accepting new patients |
| Baptist Medcare, Inc | Emergency Medicine | Current |
Accepting new patients |
| Crenshaw County Health Care Authority | Family Medicine | Current |
Accepting new patients |
| Governor Juan F. Luis Hospital & Medical Center | Current |
Accepting new patients | |
| Statera Health Care, LLC | Emergency Medicine | Current |
Accepting new patients |
| NWMC Emergency Physicians LLC | Emergency Medicine | Current |
Accepting new patients |
| Arkansas Emergency Staffing Solutions, Inc | Emergency Medicine | Current |
Accepting new patients |
| Ivy Creek of Elmore, LLC | Current | Accepting new patients | |
| Ouachita County Medical Center | Current |
Accepting new patients | |
| Small Hospital Innovations LLC | Emergency Medicine | Current |
Accepting new patients |
| Ouachita County Medical Center | Current |
Accepting new patients | |
| Correct Care, Inc. | Emergency Medicine | Current |
Accepting new patients |
| Monticello Ess LLC | Emergency Medicine | Current |
Accepting new patients |
| Ivy Creek Specialty Care | Current |
Accepting new patients | |
| Ivy Creek of Tallapoosa LLC | Family Medicine | Current | Accepting new patients |
| Moore Emergency Group, LLC | Emergency Medicine | Current |
Accepting new patients |
| Ivy Creek of Elmore LLC | Current |
Accepting new patients | |
| Crenshaw County Health Care Authority | Current |
Accepting new patients | |
| Emanuel County Hospital Authority | Current |
Accepting new patients | |
| Ivy Creek of Tallapoosa | Current |
Accepting new patients | |
| Ivy Creek Specialty Care | Current |
Accepting new patients | |
| Emanuel County Hospital Authority | Current | Accepting new patients | |
| Emergency Services Midwest SC | Emergency Medicine | Current |
Accepting new patients |
| Governor Juan F. Luis Hospital & Medical Center | Current |
Accepting new patients | |
| Southeastern Emergency Physicians of Memphis LLC | Emergency Medicine | Current |
Accepting new patients |
| Ivy Creek of Elmore LLC | Past | Accepting new patients | |
| Louisiana Em-1 Medical Services, a Medical Corporation | Emergency Medicine | Past | Accepting new patients |
| Southwest Emergency Physicians, PLLC | Emergency Medicine | Past | Accepting new patients |
| Lee Robert Domangue, M.D., a Professional Medical Corporation | Emergency Medicine | Past | Accepting new patients |
| Alteon Health Alabama, LLC | Emergency Medicine | Past | Accepting new patients |
| Emergency Medicine Associates of Mobile | Past | Accepting new patients | |
| Tchefuncta Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Mobile Emergency Group PC | Emergency Medicine | Past | Accepting new patients |
Locations (25 of 33)
849 S Three Notch St
Andalusia, AL 36420
Phone (334) 222-6953
201 Mariarden Rd
Dadeville, AL 36853
Phone (256) 825-0677
301 Mariarden Rd
Ste D
Dadeville, AL 36853
Phone (256) 825-7871
600 S 3rd St
Gadsden, AL 35901
Phone (256) 543-5200
101 Hospital Dr
Luverne, AL 36049
Phone (334) 335-3374
7956 Vaughn Rd
Ste 165
Montgomery, AL 36116
525 Hospital Dr
Ste B
Wetumpka, AL 36092
Phone (334) 567-5626
500 Hospital Dr
Wetumpka, AL 36092
Phone (334) 283-2542
1530 US Highway 43
Winfield, AL 35594
Phone (205) 487-7000
3050 Twin Rivers Dr
Arkadelphia, AR 71923
Phone (501) 202-2300
451 W Locke St
Ashdown, AR 71822
Phone (870) 265-5351
1520 N Division St
Blytheville, AR 72315
Phone (870) 838-7300
1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590
960 Highway 71 N
De Queen, AR 71832
Phone (870) 642-6420
638 California Ave SW
East Camden, AR 71701
Phone (870) 836-1000
1800 By Pass Rd
Heber Springs, AR 72543
Phone (501) 887-3000
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
778 Scogin Dr
Monticello, AR 71655
Phone (870) 367-2411
130 Medical Cir
Nashville, AR 71852
Phone (501) 624-7700
1808 W Main St
Russellville, AR 72801
Phone (479) 964-4178
1703 N Buerkle St
Stuttgart, AR 72160
Phone (870) 674-6301
2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128
102 Hospital Cir
Donalsonville, GA 39845
Phone (229) 524-8489
11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277
117 Kite Rd
Swainsboro, GA 30401
Phone (248) 972-8725
Interoperability endpoints
- donald.angle.1@14285.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 64891 | GA | |
| Emergency Medicine Physician | 207P00000X | 00012847 | AL | Yes |
Addresses
Primary practice location
1000 Medical Center Blvd
Lawrenceville, GA 30046-7694
Mailing address
PO Box 11165
New Orleans, LA 70181-1165
Phone (504) 957-3946
Other practice location 1
117 Kite Rd
Swainsboro, GA 30401-3231
Phone (478) 289-1100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009936571 | Medicaid | AL |
NPI Registry JSON
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752710400000",
"number": "1184669137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11165",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701811165",
"telephone_number": "504-957-3946",
"fax_number": "877-872-0739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 MEDICAL CENTER BLVD",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300467694",
"telephone_number": "504-957-3946"
}
],
"practiceLocations": [
{
"address_1": "117 Kite Rd",
"address_purpose": "LOCATION",
"city": "Swainsboro",
"state": "GA",
"postal_code": "304013231",
"country_code": "US",
"telephone_number": "478-289-1100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANGLE",
"first_name": "DONALD",
"middle_name": "FORREST",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2025-07-17",
"certification_date": "2025-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "64891",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AL",
"license": "00012847",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009936571",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
- Traci Eileen Andrews
- Katherine Andrus
- Sudhindra K Anegundi
- Angelic Home Care Assistance LLC
- Angels of Care, LLC
- Veronica Ebere Ani
- Aniala Behavioral Health, LLC
- Anita'S Balm
- Isioma Anizor
- Annual Medicare Wellness Exams
All providers in Lawrenceville, GA · Emergency Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.