Individual provider Active NPI

Anthony Dhiantie Goei, MD

  • Vascular & Interventional Radiology Physician
  • Gainesville, GA
National Provider Identifier
1255321915
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
77040 Issued in GA
Practice address
743 Spring St NE
Gainesville, GA 30501-3715
Phone
(710) 219-9103
NPI assigned
Oct 25, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X P0055 TX
Vascular & Interventional Radiology Physician 2085R0204X 77040 GA Primary

Addresses

Primary practice location

743 Spring St NE
Gainesville, GA 30501-3715

Mailing address

PO Box 1705
Augusta, GA 30903-1705
Phone (706) 774-7022

Other practice location 1

1750 N Hampton Rd
DeSoto, TX 75115-2306
Phone (214) 946-4397

Other practice location 2

743 Spring St NE
Gainesville, GA 30501-3715
Phone (770) 219-8420

Other practice location 3

1348 Walton Way Ste 5700
Augusta, GA 30901-5110
Phone (706) 774-7022

Other identifiers 2

IdentifierTypeStateIssuer
320604YR70OtherTXMEDICARE PTAN
320604YPM9OtherTXMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, GU, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20161213001648 GA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 5496911182 Reassigns benefits to 4 organizations
I20240124004949 GU Practitioner - Interventional Radiology 5496911182 Reassigns benefits to 1 organization
I20250207003099 NC Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 5496911182

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Albert Einstein College of Medicine of Yeshiva University, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Archbold Medical Group, Inc.Group PAC ID 8123196383, 80 clinicians

Practice addresses (Care Compare)

100 Mimosa Dr
Thomasville, GA 31792-6676
Phone (229) 228-5500

915 Gordon Ave
Thomasville, GA 31792-6614
Phone (229) 228-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
65.1 of 100Reported as group
Quality
100
Promoting interoperability
0
Improvement activities
30
Cost
79.51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77040GAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Archbold Medical Group, Inc. CurrentSince Oct 16, 2025 Accepting new patients
Archbold Medical Group, Inc. CurrentSince Oct 16, 2025 Accepting new patients
Au Medical Associates Inc CurrentSince Mar 28, 2018 Accepting new patients
Amgir, Inc. Vascular & Interventional Radiology CurrentSince Oct 1, 2024 Accepting new patients
Northeast Georgia Physicians Group Inc CurrentSince Oct 1, 2025 Accepting new patients
Au Medical Associates Inc CurrentSince Mar 28, 2018 Accepting new patients
Guam X-Ray Vascular & Interventional Radiology CurrentSince Dec 4, 2023 Accepting new patients
River City Imaging Centers LLC PastSince May 9, 2021 Accepting new patients
Kevin L. Sullivan MD, PC Vascular & Interventional Radiology Past Accepting new patients

Locations

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

1348 Walton Way
Ste 5700
Augusta, GA 30901
Phone (706) 722-8242

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

100 Mimosa Dr
Thomasville, GA 31792
Phone (229) 226-9141

915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575

900 Gordon Ave
Thomasville, GA 31792
Phone (229) 226-0125

900 Cairo Rd
Thomasville, GA 31792
Phone (229) 227-5102

633 Gov Carlos G Camacho Rd
Ste 210
Tamuning, GU 96913
Phone (671) 649-1001

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1255321915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1705",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309031705",
            "telephone_number": "706-774-7022",
            "fax_number": "706-774-7023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 SPRING ST NE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013715",
            "telephone_number": "710-219-9103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1750 N Hampton Rd",
            "address_purpose": "LOCATION",
            "city": "DeSoto",
            "state": "TX",
            "postal_code": "751152306",
            "country_code": "US",
            "telephone_number": "214-946-4397",
            "fax_number": "214-946-4399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "743 Spring St NE",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305013715",
            "country_code": "US",
            "telephone_number": "770-219-8420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1348 Walton Way Ste 5700",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309015110",
            "country_code": "US",
            "telephone_number": "706-774-7022",
            "fax_number": "706-774-7023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOEI",
        "first_name": "ANTHONY",
        "middle_name": "DHIANTIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "P0055",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "GA",
            "license": "77040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "320604YR70",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "320604YPM9",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.