Individual provider Active NPI

Angela Marie Barco, MSN, ARNP, NP-C

  • Family Nurse Practitioner
  • Augusta, GA
National Provider Identifier
1417264292
Registry record updated Nov 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN221722 Issued in GA
Practice address
3486 Peach Orchard Rd Ste 200
Augusta, GA 30906
Phone
(706) 828-8049
Fax
(706) 828-8048
NPI assigned
Sep 1, 2010
Last updated
Nov 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X RN2211722 GA
Family Nurse Practitioner 363LF0000X RN221722 GA Primary

Addresses

Primary practice location

3486 Peach Orchard Rd Ste 200
Augusta, GA 30906

Mailing address

PO Box 1705
Augusta, GA 30903-1705
Phone (706) 854-6917

Other practice location 1

9016 Battle Ct
Grovetown, GA 30813-1258
Phone (573) 842-8246

Other practice location 2

4720 Washington Rd
Evans, GA 30809
Phone (706) 650-0111

Other names 1

  • Ms. Angela Marie Montecino Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120904000766 GA Practitioner - Nurse Practitioner 9234386806 Reassigns benefits to 2 organizations
I20150918001055 SC Practitioner - Nurse Practitioner 9234386806

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
19453SCMDPediatrics Physician
RN2211722GAMDCritical Access Hospital

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Em-I Medical Service PC CurrentSince Nov 18, 2017 Accepting new patients
Med Now Urgent Care, LLC CurrentSince Nov 1, 2021 Accepting new patients
Georgia Em-I Medical Services, LLC CurrentSince Nov 18, 2017 Accepting new patients
University Prompt Care Current Accepting new patients
University Health Care Physicians LLC Current Accepting new patients
Georgia Em-I Medical Services. LLC Current Accepting new patients
University Medical Group LLC Current Accepting new patients
Urgent MD Healthcare Services, P.C. PastSince Nov 1, 2021 Accepting new patients

Locations

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

1350 Walton Way
Fl 9
Augusta, GA 30901
Phone (706) 744-2455

2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000

2851 Washington Rd
Augusta, GA 30909
Phone (706) 922-6578

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-2369

820 Saint Sebastian Way
Ste 4C
Augusta, GA 30901
Phone (706) 774-5997

5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340

104 N Belair Rd
Ste 101
Evans, GA 30809
Phone (706) 799-5664

447 N Belair Rd
Ste 101
Evans, GA 30809
Phone (706) 854-2222

4720 Washington Rd
Evans, GA 30809
Phone (706) 650-0111

469 Lewiston Rd
Grovetown, GA 30813
Phone (706) 922-6578

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1417264292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1705",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309031705",
            "telephone_number": "706-854-6917",
            "fax_number": "706-774-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3486 PEACH ORCHARD RD STE 200",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30906",
            "telephone_number": "706-828-8049",
            "fax_number": "706-828-8048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9016 Battle Ct",
            "address_purpose": "LOCATION",
            "city": "Grovetown",
            "state": "GA",
            "postal_code": "308131258",
            "country_code": "US",
            "telephone_number": "573-842-8246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4720 Washington Rd",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "30809",
            "country_code": "US",
            "telephone_number": "706-650-0111",
            "fax_number": "706-651-1882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARCO",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MSN, ARNP, NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-01",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "GA",
            "license": "RN2211722",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN221722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "MONTECINO",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.