Jose E Espinel, MD

Key facts

NPI

1497863211

Entity type

Individual (NPI type 1)

Primary specialty

Surgery Physician 208600000X

License

066288 (GA)

Practice address

157 Clinic Ave Ste 302
Carrollton, GA 30117

Phone

(770) 834-3336

Fax

(770) 832-2331

NPI assigned

Aug 29, 2006

Sex

Male

Sole proprietor

No

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 and National Provider Directory roles.

• Tanner Medical Group Inc Cardiovascular Disease Physician · Carrollton, GA · NPI 1396979787
  Medicare reassignment Care Compare group NPD GA
• Mayo Clinic Health System in Waycross, Inc. Multi-Specialty Clinic/Center · Waycross, GA · NPI 1154745982
  Medicare reassignment NPD GA
• Integrated Regional Laboratories Pathology Services, LLC Anatomic Pathology & Clinical Pathology Physician · Atlantis, FL · NPI 1942526298
  NPD
• TMC Children'S Healthcare of West Georgia Medical Specialty Clinic/Center · Carrollton, GA · NPI 1518972348
  NPD (past)
• Baystate Medical Practices, Inc Emergency Medical Services (Emergency Medicine) Physician · Springfield, MA · NPI 1548205909
  NPD (past) SURGERY

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Tanner Medical Center, Inc General Acute Care Hospital · Carrollton, GA · NPI 1801883780
  Care Compare affiliation Hospital
• TMC Home Health Inc Home Health Agency · Carrollton, GA · NPI 1457376386
  Care Compare affiliation Home health agency
• TMC/Villa Rica Hospital, Inc General Acute Care Hospital · Villa Rica, GA · NPI 1851388748
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

General Surgery

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tanner Medical Group Inc (120 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tanner Home Health Services Home health agency · Carrollton, GA · CCN 117319
• Tanner Medical Center - Carrollton Hospital · Carrollton, GA · CCN 110011
• Tanner Medical Center Villa Rica Hospital · Villa Rica, GA · CCN 110015

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

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

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 11, 2019.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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