Angelos Basil Vamvakas, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

18343 Issued in MS

Practice address

3161 Wayne Dr
Diberville, MS 39540-8554

Phone

(228) 392-2730

NPI assigned

Jul 3, 2006

Last updated

Feb 2, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Psychiatry

Education

Other, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Family Health Center, IncGroup PAC ID 8628989654, 48 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: angelos.vamvakas@direct.cfhc.nextgenshare.com

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.

• Coastal Family Health Center, Inc

  dba Coastal Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Biloxi, MS
  • NPI 1629066782
  Medicare reassignment Care Compare group NPD
• Singing River Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gautier, MS
  • NPI 1851407829

  Psychiatry

  Medicare reassignment NPD
• Coastal Family Health Center, Inc

  dba CFHC Mental Health Mobile Unit

  • Federally Qualified Health Center (FQHC)
  • Biloxi, MS
  • NPI 1104010834
  NPD
• Coastal Family Health Center, Inc

  dba Coastal Family Health Center, Inc Central Elementary

  • Federally Qualified Health Center (FQHC)
  • Lucedale, MS
  • NPI 1427842913
  NPD

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422835200000",
    "number": "1538199831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3161 WAYNE DR",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395408554",
            "telephone_number": "228-392-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 WAYNE DR",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395408554",
            "telephone_number": "228-392-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAMVAKAS",
        "first_name": "ANGELOS",
        "middle_name": "BASIL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2015-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MS",
            "license": "18343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01080397",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Tran
• Doan Khanh Tran, D.M.D
• Debra L Traughber, LPC-S, ACS
• Debra Scardino Treutel, RPH
• Melissa Wilson Tucker, M.D.
• Gordon Verrett
• Vitality Wellness Clinic LLC (Vitality Medical Clinic and Spa)
• Wal-Mart Stores East , LP (Walmart Pharmacy 10-6166)
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2715)
• Wal-Mart Stores East, LP (Vision Center 30-2715)

• Psychiatry Physician in D'Iberville, MS
• Providers in D'Iberville, MS by specialty
• Psychiatry Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; 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.

Verify at the official NPI Registry.