Individual provider Active NPI

Carol Angel, M.D.

  • Colon & Rectal Surgery Physician
  • Conyers, GA
National Provider Identifier
1326570755
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
104919 Issued in GA
Practice address
1301 Sigman Rd NE Ste 190
Conyers, GA 30012-3924
Phone
(678) 806-3566
NPI assigned
Apr 3, 2017
Last updated
Sep 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35.140219 OH
Surgery Physician 208600000X 4301510249 MI
Colon & Rectal Surgery Physician 208C00000X 104919 GA Primary

Addresses

Primary practice location

1301 Sigman Rd NE Ste 190
Conyers, GA 30012-3924

Mailing address

5751 Sun Valley Blvd
Sylvania, OH 43560-3746
Phone (330) 571-3208

Other practice location 1

320 E Chicago St
Coldwater, MI 49036-2068
Phone (517) 279-5032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, GA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20231108002846 MI Practitioner - General Surgery 1850660762 Reassigns benefits to 1 organization
I20251020001390 GA Practitioner - Colorectal Surgery (Proctology) 1850660762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
University of Toledo College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Providers LLCGroup PAC ID 9830082825, 526 clinicians

Practice addresses (Care Compare)

1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (404) 367-3558

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301510249MIMDSurgery Physician
35.140219OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Branch County CurrentSince Oct 7, 2023 Accepting new patients
Community Health Center of Branch County Current Accepting new patients
Regio T Penna MD, PC Current Accepting new patients
Community Health Center of Branch County Current Accepting new patients
Piedmont Providers LLC CurrentSince Oct 8, 2025 Accepting new patients
Community Health Center of Branch County CurrentSince Oct 7, 2023 Accepting new patients

Locations

1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210

1301 Sigman Rd NE
Ste 190
Conyers, GA 30012
Phone (678) 806-3566

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

274 E Chicago St
Coldwater, MI 49036
Phone (517) 279-5400

320 E Chicago St
Coldwater, MI 49036
Phone (517) 279-5050

Interoperability endpoints

  • Direct secure messaging: cangel109321@direct.promedica.org

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1326570755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5751 SUN VALLEY BLVD",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435603746",
            "telephone_number": "330-571-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SIGMAN RD NE STE 190",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123924",
            "telephone_number": "678-806-3566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 E Chicago St",
            "address_purpose": "LOCATION",
            "city": "Coldwater",
            "state": "MI",
            "postal_code": "490362068",
            "country_code": "US",
            "telephone_number": "517-279-5032",
            "fax_number": "517-279-5036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANGEL",
        "first_name": "CAROL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35.140219",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301510249",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "GA",
            "license": "104919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

Verify at the official NPI Registry.