Individual provider Active NPI

Joseph P Langshaw, PA C

  • Physician Assistant
  • Calhoun, GA
National Provider Identifier
1548226129
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
004638 Issued in GA
Practice address
1035 Red Bud Rd NE
Suite 205
Calhoun, GA 30701-6008
Phone
(706) 277-7311
Fax
(706) 272-3512
NPI assigned
Apr 24, 2006
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 004638 GA Primary

Addresses

Primary practice location

1035 Red Bud Rd NE
Suite 205
Calhoun, GA 30701-6008

Mailing address

1107 Memorial Dr
Suite 201
Dalton, GA 30720-8662
Phone (706) 277-7311

Other identifiers 1

IdentifierTypeStateIssuer
842043546AMedicaidGA

Other names 1

  • Joseph P Langshaw Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jychung@directaddress.net Skin Cancer & Cosmetic Dermatology Center, PC

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051215000338 GA Practitioner - Physician Assistant 6305867581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin Cancer and Cosmetic Dermatology Center PCGroup PAC ID 3375591209, 24 clinicians

Practice addresses (Care Compare)

1107 Memorial Dr
Suite 201
Dalton, GA 30720-8662
Phone (706) 277-7311

160 Curtis Pkwy NE
Calhoun, GA 30701-2062
Phone (706) 625-3909

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Cancer and Cosmetic Dermatology Center PC PastSince Dec 3, 2007 Accepting new patients
Georgia Emergency Care, PC Physician Assistant Past Accepting new patients
Adventist Health System Georgia Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: joe.langshaw@sccdc.gadirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1548226129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 MEMORIAL DR",
            "address_2": "SUITE 201",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208662",
            "telephone_number": "706-277-7311",
            "fax_number": "706-272-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 RED BUD RD NE",
            "address_2": "SUITE 205",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307016008",
            "telephone_number": "706-277-7311",
            "fax_number": "706-272-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGSHAW",
        "first_name": "JOSEPH",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-24",
        "last_updated": "2023-11-27",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "004638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "842043546A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jychung@directaddress.net",
            "affiliation": "Y",
            "affiliationName": "Skin Cancer & Cosmetic Dermatology Center, PC",
            "address_1": "1107 Memorial Drive",
            "address_2": "Suite 201",
            "city": "Dalton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JOSEPH",
            "last_name": "LANGSHAW",
            "middle_name": "P",
            "credential": "PAC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Calhoun, GA

Sources for this page

Verify at the official NPI Registry.