Sergio Esteban Angel, MD
Individual provider Active NPI Family Medicine Physician · Dacula, GA
NPI 1346878261 · NPPES record last updated May 7, 2026
Key facts
- NPI
- 1346878261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 96937 (GA)
- Practice address
- 2103 Cain Cir Ste 120
Dacula, GA 30019-1658 - Phone
- (877) 549-4633
- NPI assigned
- Mar 27, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northeast Georgia Physicians Group Inc
Practice addresses (Care Compare)
3931 Mundy Mill Rd a
Oakwood, GA 30566-3431
Phone (770) 503-1481
Hospital & facility affiliations
- Northeast Georgia Medical Center, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.83 of 100
- Quality
- 80.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.08
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230908001600 | GA | Practitioner - Family Practice | 5395168827 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 96937 | GA | MD | Obesity Medicine (Preventive Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Georgia Physicians Group Inc | Family Medicine | Current |
Accepting new patients |
| Dr. Kiwimed LLC | Family Medicine | Past |
Accepting new patients |
| Kiwimedspa Medical Weight Loss & Aesthetics LLC | Family Medicine | Past | Accepting new patients |
Locations
597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275
743 Spring St NE
Ste 710
Gainesville, GA 30501
Phone (770) 219-1200
3931 Mundy Mill Rd
Ste A
Oakwood, GA 30566
Phone (770) 503-1481
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 96937 | GA | Yes |
| Obesity Medicine (Preventive Medicine) Physician | 2083B0002X | 96937 | GA |
Addresses
Primary practice location
2103 Cain Cir Ste 120
Dacula, GA 30019-1658
Mailing address
3640 Mundy Mill Rd Ste 112
Gainesville, GA 30504-8201
Phone (877) 549-4633
Other providers in Dacula, GA
- Ama Browne LLC
- Amity Home Care LLC
- William Donald Anderson Jr.
- Anesthesiologists for Dental Sedation LLC
- Maria Angel
- Anna Anglin
- Adwoa Aninkorah
- Maria Ansari
- Suzette Anson
- Antioch Christian Center, Inc
All providers in Dacula, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.