Active NPI
Jose Lucas Cangiano, M.D.
- Psychiatry Physician
- Athens, GA
National Provider Identifier
1487755724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 044182
- Practice address
- 240 Mitchell Bridge Rd
Athens, GA 30606-2043 - Phone
- (855) 333-9544
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 044182 | GA | Primary |
Addresses
Primary practice location
240 Mitchell Bridge Rd
Athens, GA 30606-2043
Mailing address
3500 Duluth Park LN
Suite 410
Duluth, GA 30096-3242
Phone (678) 957-0898
Other practice location 1
3500 Duluth Park Ln
Suite 410
Duluth, GA 30096-3242
Phone (678) 957-0898
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00889094B | Medicaid | GA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.advantagebhs.org |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
175 Gwinnett Dr
Lawrenceville, GA 30046-8444
Phone (770) 339-5071
250 Bray St
Athens, GA 30601-2203
Phone 70638967891108
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044182 | GA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Mountains Community Services | Current | Accepting new patients | |
| Salveo Integrative Health | Psychiatry | Past | Accepting new patients |
| Bremus Counseling Services LLC | Past | Accepting new patients | |
| Kenneth E. Goolsby, MD & Associates, PC | Psychiatry | Past | Accepting new patients |
Locations
150A Johnson St
Dahlonega, GA 30533
Phone (706) 864-6822
Interoperability endpoints
- jose.cangiano@advantage.gadirect.net
- https://fhir4.healow.com/fhir/r4/IBEHCD
Organizations & group practices 7
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Athens, GA
- NPI 1942270558
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lawrenceville, GA
- NPI 1609853860
-
- Mental Health Counselor
- Cumming, GA
- NPI 1063522035
-
- Psychiatry Physician
- Duluth, GA
- NPI 1700041175
-
- Clinical Social Worker
- Duluth, GA
- NPI 1528336187
-
- Psychiatry Physician
- Gainesville, GA
- NPI 1215942875
-
- Psychiatry Physician
- Lawrenceville, GA
- NPI 1548513211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574208000000",
"number": "1487755724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 DULUTH PARK LN",
"address_2": "SUITE 410",
"city": "DULUTH",
"state": "GA",
"postal_code": "300963242",
"telephone_number": "678-957-0898",
"fax_number": "678-957-0939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 MITCHELL BRIDGE RD",
"city": "ATHENS",
"state": "GA",
"postal_code": "306062043",
"telephone_number": "855-333-9544"
}
],
"practiceLocations": [
{
"address_1": "3500 Duluth Park Ln",
"address_2": "Suite 410",
"address_purpose": "LOCATION",
"city": "Duluth",
"state": "GA",
"postal_code": "300963242",
"country_code": "US",
"telephone_number": "678-957-0898",
"fax_number": "678-957-0939",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CANGIANO",
"first_name": "JOSE",
"middle_name": "LUCAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2019-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "044182",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00889094B",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.advantagebhs.org",
"affiliation": "N",
"address_1": "240 Mitchell Bridge Rd",
"city": "Athens",
"state": "GA",
"country_code": "US",
"postal_code": "306062043",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 20, 2019; 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.