Active NPI
Joseangel Damian Bedoya, MD
- Emergency Medicine Physician
- Acworth, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 63630
- Practice address
- 3345 Cobb Pkwy NW Ste 800
Acworth, GA 30101-8346 - Phone
- (678) 919-7200
- Fax
- (678) 919-7210
- NPI assigned
- May 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 63630 | GA | Primary |
Addresses
Primary practice location
3345 Cobb Pkwy NW Ste 800
Acworth, GA 30101-8346
Mailing address
301 Brownhill CT
Woodstock, GA 30188-2659
Phone (707) 714-1179
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
- Emergency Medicine
- Education
- University of Puerto Rico School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1035 Red Bud Rd NE
Calhoun, GA 30701-6010
Phone (706) 629-2895
707 Old Dalton Ellijay Rd
Chatsworth, GA 30705-2029
Phone (706) 695-4564
Hospital & facility affiliations
- Adventhealth Gordon
- Adventhealth Murray
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.35 of 100
- Quality
- 92.65
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.72 of 100
- Quality
- 87.23
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63630 | GA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gordon Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Gordon Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Murray Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Peachtree Immediate Care FP, LLC | Current | Accepting new patients | |
| Wellstreet of Georgia PC | Current | Accepting new patients | |
| Wellstreet of Georgia PC | Current | Accepting new patients | |
| Professional Emergency Specialists of Southern Ohio | Emergency Medicine | Past | Accepting new patients |
| Cartersville Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| Professional Emergency Specialists of Southern Ohio | Emergency Medicine | Past | Accepting new patients |
| Texas Emergency Room Services PA | Emergency Medicine | Past | Accepting new patients |
Locations
3345 Cobb Pkwy NW
Ste 800
Acworth, GA 30101
Phone (678) 919-2700
2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941
1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800
707 Old Dalton Ellijay Rd
Chatsworth, GA 30705
Phone (706) 517-2050
590 Lanier Ave W
Fayetteville, GA 30214
1275 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 461-3776
3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 10
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.
-
- Emergency Medicine Physician
- Calhoun, GA
- NPI 1205290467
-
- Emergency Medicine Physician
- Chatsworth, GA
- NPI 1043783970
-
- Family Medicine Physician
- Hiram, GA
- NPI 1437194156
-
- Urgent Care Clinic/Center
- Newnan, GA
- NPI 1235411547
-
- Emergency Medicine Physician
- Chatsworth, GA
- NPI 1639621485
-
- Non-Pharmacy Dispensing Site
- Acworth, GA
- NPI 1699486076
-
- Emergency Medicine Physician
- Cartersville, GA
- NPI 1346295995
-
- Emergency Medicine Physician
- Wilmington, OH
- NPI 1356329890
-
- Emergency Medicine Physician
- Dayton, OH
- NPI 1639157175
-
- Emergency Medicine Physician
- Lufkin, TX
- NPI 1992843387
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chatsworth, GA
- NPI 1750776571
-
- General Acute Care Hospital
- Calhoun, GA
- NPI 1760402424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694044800000",
"number": "1265645907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 BROWNHILL CT",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301882659",
"telephone_number": "707-714-1179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3345 COBB PKWY NW STE 800",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301018346",
"telephone_number": "678-919-7200",
"fax_number": "678-919-7210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEDOYA",
"first_name": "JOSEANGEL",
"middle_name": "DAMIAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-08",
"last_updated": "2023-09-07",
"certification_date": "2023-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "63630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Acworth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.