Individual provider Active NPI

Jose E Espinel, MD

  • Surgery Physician
  • Carrollton, GA
National Provider Identifier
1497863211
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
066288 Issued in GA
Practice address
157 Clinic Ave Ste 302
Carrollton, GA 30117
Phone
(770) 834-3336
Fax
(770) 832-2331
NPI assigned
Aug 29, 2006
Last updated
Jun 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 066288 GA Primary

Addresses

Primary practice location

157 Clinic Ave Ste 302
Carrollton, GA 30117

Mailing address

119 Ambulance Dr Ste 202
Carrollton, GA 30117-3857
Phone (770) 838-8710

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110809000162 GA Practitioner - General SurgeryPractitioner - Other (Physician) 0547240517 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tanner Medical Group IncGroup PAC ID 2769536143, 120 clinicians

Practice addresses (Care Compare)

157 Clinic Ave
Suite 302B
Carrollton, GA 30117-4454
Phone (770) 812-5902

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)11
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Health System in Waycross, Inc. CurrentSince Mar 1, 2017 Accepting new patients
Tanner Medical Group Inc CurrentSince Aug 15, 2017 Accepting new patients
Integrated Regional Laboratories Pathology Services, LLC Current Accepting new patients
TMC Children's Healthcare of West Georgia Past Accepting new patients
Baystate Medical Practices, Inc Surgery Past Accepting new patients

Locations

119 Ambulance Dr
Ste 202
Carrollton, GA 30117
Phone (770) 838-8710

157 Clinic Ave
Ste 302
Carrollton, GA 30117
Phone (770) 812-5902

157 Clinic Ave
Ste 302A
Carrollton, GA 30117
Phone (770) 812-5886

157 Clinic Ave
Ste 302B
Carrollton, GA 30117
Phone (770) 812-5902

157 Clinic Ave
Ste 302C
Carrollton, GA 30117
Phone (770) 834-3336

316 Shirley Ave
Douglas, GA 31533
Phone (912) 383-0815

690 Dallas Hwy
Ste 207A
Villa Rica, GA 30180
Phone (770) 456-3646

1908 Alice St
Waycross, GA 31501
Phone (912) 338-6010

1921 Alice St
Ste 4B
Waycross, GA 31501
Phone (912) 285-5690

Interoperability endpoints

  • Direct secure messaging: jose.espinel@hca5.eclinicaldirectplus.com

Organizations & group practices 5

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 3

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1497863211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 AMBULANCE DR STE 202",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173857",
            "telephone_number": "770-838-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 CLINIC AVE STE 302",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "30117",
            "telephone_number": "770-834-3336",
            "fax_number": "770-832-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINEL",
        "first_name": "JOSE",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "066288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

Verify at the official NPI Registry.