Carl Gonzales II, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

075179 Issued in GA

Practice address

1301 Sigman Rd NE
Suite 130
Conyers, GA 30012-3812

Phone

(678) 609-4927

Fax

(678) 609-4928

NPI assigned

Apr 29, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Vascular Surgery

Education

University of Texas Medical Branch at Galveston, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Preferred Vascular Services NortheastGroup PAC ID 3577815695, 11 clinicians

Preferred Vascular Services SouthwestGroup PAC ID 0446502918, 13 clinicians

Preferred Vascular Services Southeast LLCGroup PAC ID 3577812312, 8 clinicians

Preferred Vascular Services Northwest LLCGroup PAC ID 1850552142, 13 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.62 of 100Reported as apm

Quality

83.25

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Preferred Vascular Services Northeast

  • Vascular Surgery Physician
  • Atlanta, GA
  • NPI 1780184218
  Medicare reassignment Care Compare group NPD
• Preferred Vascular Services Northwest, LLC

  • Vascular Surgery Physician
  • Marietta, GA
  • NPI 1598037822
  Medicare reassignment Care Compare group NPD
• Preferred Vascular Services Southeast LLC

  • Vascular Surgery Physician
  • Lithonia, GA
  • NPI 1861992976
  Medicare reassignment Care Compare group NPD
• Preferred Vascular Services Southwest

  • Vascular Surgery Physician
  • Atlanta, GA
  • NPI 1790285229
  Medicare reassignment Care Compare group NPD
• Piedmont Cardiology of Atlanta, LLC

  • Cardiovascular Disease Physician
  • Atlanta, GA
  • NPI 1275729691
  Medicare reassignment NPD
• Piedmont Providers LLC

  • Internal Medicine Physician
  • Jasper, GA
  • NPI 1548273592
  Medicare reassignment NPD
• Preferred Vascular Services Macon LLC

  • Vascular Surgery Physician
  • Macon, GA
  • NPI 1437659455
  Medicare reassignment NPD

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1356668487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SIGMAN RD NE",
            "address_2": "SUITE 130",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123812",
            "telephone_number": "678-609-4927",
            "fax_number": "678-609-4928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SIGMAN RD NE",
            "address_2": "SUITE 130",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123812",
            "telephone_number": "678-609-4927",
            "fax_number": "678-609-4928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "CARL",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-29",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "GA",
            "license": "075179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert E Going Jr., DDS
• Aaron Stanley Goldberg, M.D.
• Golden Bloom Phrams Inc
• Robert D. Golden, D.M.D.
• Yendi Nancy Gomes, NP-C
• Elizabeth Gonzales, LPN
• Debora Ann Goodrich, DO
• Erik Thurston Goodwin, DDS
• Michelle Goolsby, CPS
• Jasmine Gordon

• Vascular Surgery Physician in Conyers, GA
• Providers in Conyers, GA by specialty
• Vascular Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.