NPIMap

Individual provider Active NPI

Vincent Daniel Dicarlo, MD

  • Urology Physician
  • Canton, GA
National Provider Identifier
1407388911
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
92091 Issued in GA
Practice address
470 Northside Cherokee Blvd Ste 201
Canton, GA 30115-8029
Phone
(770) 720-7246
Fax
(770) 720-4620
NPI assigned
Apr 3, 2017
Last updated
May 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 92091 GA Primary

Addresses

Primary practice location

470 Northside Cherokee Blvd Ste 201
Canton, GA 30115-8029

Mailing address

1930 Brannan Rd
McDonough, GA 30253-4310
Phone (678) 284-4040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220602000442 GA Practitioner - Urology 1456600535 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Medical College of Georgia School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Georgia Urology, PAGroup PAC ID 8921094376, 99 clinicians
Urological Professional Services, LLCGroup PAC ID 9638391717, 72 clinicians

Practice addresses (Care Compare)

470 Northside Cherokee Blvd
Suite 201
Canton, GA 30115-8015
Phone (770) 720-7246

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
78.21 of 100Reported as group
Quality
52.19
Promoting interoperability
98
Improvement activities
40
Cost
76.84

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection21
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urological Professional Services, LLC Urology CurrentSince Jul 1, 2022 Accepting new patients
Georgia Urology PA Urology CurrentSince Jul 1, 2022 Accepting new patients
Georgia Urology Piedmont, LLC Urology CurrentSince Apr 1, 2024 Accepting new patients
Georgia Urology Piedmont, LLC Urology CurrentSince Apr 1, 2024 Accepting new patients
Georgia Urology, PA CurrentSince Jul 1, 2022 Accepting new patients
Georgia Urology PA Urology Past Accepting new patients

Locations

4450 Calibre Xing NW
Acworth, GA 30101
Phone (770) 607-1893

100 Liberty Blvd
Ste 230
Canton, GA 30114
Phone (678) 593-1043

100 Liberty Blvd
Ste 240
Canton, GA 30114
Phone (678) 593-1043

470 Northside Cherokee Blvd
Ste 201
Canton, GA 30115
Phone (770) 720-7246

1301 Sigman Rd NE
Ste 250A
Conyers, GA 30012
Phone (770) 760-9900

433 Highland Pkwy
Ste 102
Ellijay, GA 30540
Phone (706) 222-4255

220 J L White Dr
Ste 160
Jasper, GA 30143
Phone (706) 692-4384

1930 Brannan Rd
McDonough, GA 30253
Phone (678) 284-4040

4298 Atlanta Rd SE
Ste 305
Smyrna, GA 30080
Phone (678) 284-4040

900 Towne Lake Pkwy
Ste 200
Woodstock, GA 30189
Phone (678) 494-9201

Interoperability endpoints

  • Direct secure messaging: vdicarlo17863@ukhcdirect.org
  • Direct secure messaging: vincent.dicarlo.p1@direct.gupa.nextgenshare.com

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 4

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": "1653436800000",
    "number": "1407388911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 BRANNAN RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534310",
            "telephone_number": "678-284-4040",
            "fax_number": "678-284-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 NORTHSIDE CHEROKEE BLVD STE 201",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301158029",
            "telephone_number": "770-720-7246",
            "fax_number": "770-720-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICARLO",
        "first_name": "VINCENT",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-03",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "92091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

Verify at the official NPI Registry.