Jose Alfonso Canedo, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

032356 Issued in GA

Practice address

2300 Manchester Expy
BLDG H Suite 103
Columbus, GA 31904-6802

Phone

(706) 571-0121

Fax

(706) 571-0124

NPI assigned

Mar 13, 2007

Last updated

Feb 11, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Neurology

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: regionalhealthdiagnostics.josecanedo@117073.advancedmd-direct.com

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.

• West Georgia Neurology and Neurodiagnostics, P.C.

  • Health Service Clinic/Center
  • Columbus, GA
  • NPI 1730326778
  Medicare reassignment NPD Authorized official
• Columbus Memory Center, PC

  • Neurology Physician
  • Columbus, GA
  • NPI 1083171607
  Medicare reassignment NPD
• Regional Health Diagnostics Inc

  • Sleep Disorder Diagnostic Clinic/Center
  • Jacksonville, NC
  • NPI 1154656411
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265846400000",
    "number": "1306979828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 MANCHESTER EXPY",
            "address_2": "BLDG H SUITE 103",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046802",
            "telephone_number": "706-571-0121",
            "fax_number": "706-571-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 MANCHESTER EXPY",
            "address_2": "BLDG H SUITE 103",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046802",
            "telephone_number": "706-571-0121",
            "fax_number": "706-571-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANEDO",
        "first_name": "JOSE",
        "middle_name": "ALFONSO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2010-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "032356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00416435A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacy Campbell
• Robert Cancino III, RBT
• Candler Road Dental, PC (Franklin Dental & Braces)
• William L Candler Jr., PHD
• Kaylee Candlin, RBT
• Duanessa Carlita Cannady, CSFA
• Da Monica Alethea Cannon, NP
• Sterling L Cannon, M.D.
• Donna Elizabeth Cantrell, N.D.
• Imogene W Cantrell

• Neurology Physician in Columbus, GA
• Providers in Columbus, GA by specialty
• Neurology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.

Verify at the official NPI Registry.