Active NPI
Joseph Nathaniel Ingle, PA-C
- Physician Assistant
- Athens, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 7092
- Practice address
- 1199 Prince Ave
Athens, GA 30606-2797 - Phone
- (706) 475-5076
- NPI assigned
- Jan 30, 2014
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 7092 | GA | Primary |
Addresses
Primary practice location
1199 Prince Ave
Athens, GA 30606-2797
Mailing address
2142 W Broad St
BLDG 100, Ste 200
Athens, GA 30606-3506
Phone (706) 548-6881
Other practice location 1
2142 W Broad St
Bldg 100, Ste 200
Athens, GA 30606-3506
Phone (706) 548-6881
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140502001032 | GA | Practitioner - Physician Assistant | 0941433692 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Emory University School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1199 Prince Ave
Athens, GA 30606-2797
Phone (706) 475-5076
Hospital & facility affiliations
- Piedmont Athens Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Athens Specialty Care LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1578079000
GA
-
- Emergency Medicine Physician
- Athens, GA
- NPI 1316064629
GA
-
- Cardiovascular Disease Physician
- Athens, GA
- NPI 1184130627
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Athens, GA
- NPI 1437186111
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650412800000",
"number": "1346663192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2142 W BROAD ST",
"address_2": "BLDG 100, STE 200",
"city": "ATHENS",
"state": "GA",
"postal_code": "306063506",
"telephone_number": "706-548-6881",
"fax_number": "706-546-0821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1199 PRINCE AVE",
"city": "ATHENS",
"state": "GA",
"postal_code": "306062797",
"telephone_number": "706-475-5076"
}
],
"practiceLocations": [
{
"address_1": "2142 W Broad St",
"address_2": "Bldg 100, Ste 200",
"address_purpose": "LOCATION",
"city": "Athens",
"state": "GA",
"postal_code": "306063506",
"country_code": "US",
"telephone_number": "706-548-6881",
"fax_number": "706-546-0821",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "INGLE",
"first_name": "JOSEPH",
"middle_name": "NATHANIEL",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-30",
"last_updated": "2022-04-20",
"certification_date": "2022-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "7092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.