Individual provider Active NPI

Joseangel Damian Bedoya, MD

  • Emergency Medicine Physician
  • Acworth, GA
National Provider Identifier
1265645907
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
63630 Issued in GA
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

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100414000475 GA Practitioner - Emergency Medicine 8527110436 Reassigns benefits to 4 organizations

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
Gordon Emergency Physicians, LLCGroup PAC ID 6406149400, 22 clinicians
Murray Emergency Physicians, LLCGroup PAC ID 8527308840, 19 clinicians

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 Hospital, Calhoun, GA, CCN 110023
  • Adventhealth Murray Hospital, Chatsworth, GA, CCN 110050

Merit-based Incentive Payment System (MIPS)

Final score
99.35 of 100Reported as group
Quality
92.65
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.72 of 100Reported as group
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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
63630GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gordon Emergency Physicians, LLC Emergency Medicine CurrentSince Feb 13, 2017 Accepting new patients
Gordon Emergency Physicians, LLC Emergency Medicine CurrentSince Feb 13, 2017 Accepting new patients
Murray Emergency Physicians, LLC Emergency Medicine CurrentSince Jan 1, 2019 Accepting new patients
Peachtree Immediate Care FP, LLC CurrentSince Jan 30, 2023 Accepting new patients
Wellstreet of Georgia PC CurrentSince Sep 10, 2023 Accepting new patients
Wellstreet of Georgia PC CurrentSince Sep 1, 2023 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

  • FHIR API: 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.

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": "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

Verify at the official NPI Registry.