Active NPI
Angel Rafael Garcia, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Macon, GA
National Provider Identifier
1528076759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- GA011802
- Practice address
- 428 Poplar St
Suite C
Macon, GA 31201-7975 - Phone
- (478) 745-7773
- Fax
- (478) 745-7676
- NPI assigned
- Aug 3, 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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | GA011802 | GA | Primary |
Addresses
Primary practice location
428 Poplar St
Suite C
Macon, GA 31201-7975
Mailing address
428 Poplar St
Suite C
Macon, GA 31201-7975
Phone (478) 745-7773
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GA011802 | GA | MD | Endocrinology, Diabetes & Metabolism Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1528076759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "428 POPLAR ST",
"address_2": "SUITE C",
"city": "MACON",
"state": "GA",
"postal_code": "312017975",
"telephone_number": "478-745-7773",
"fax_number": "478-745-7676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "428 POPLAR ST",
"address_2": "SUITE C",
"city": "MACON",
"state": "GA",
"postal_code": "312017975",
"telephone_number": "478-745-7773",
"fax_number": "478-745-7676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "ANGEL",
"middle_name": "RAFAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "GA",
"license": "GA011802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.