Individual provider Active NPI

Angelina Postoev, M.D.

  • Surgery Physician
  • Loganville, GA
National Provider Identifier
1558539155
Registry record updated Mar 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
66401 Issued in GA
Practice address
367 Athens Hwy
BLD 100 Suite 100a
Loganville, GA 30052-2204
Phone
(678) 466-6760
Fax
(678) 802-7094
NPI assigned
Feb 15, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2014

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 66401 GA Primary

Addresses

Primary practice location

367 Athens Hwy
BLD 100 Suite 100a
Loganville, GA 30052-2204

Mailing address

367 Athens Hwy
BLD 100 Suite 100a
Loganville, GA 30052-2204
Phone (678) 466-6760

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
I20110804000647 GA Practitioner - General Surgery 4880626001 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66401GAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Surgicare CurrentSince Aug 1, 2011 Accepting new patients
Surgicare Gwinnett CurrentSince Jun 2, 2014 Accepting new patients

Locations

5931 Webb Rd
Tampa, FL 33615
Phone (678) 466-6760

367 Athens Hwy
Ste 100
Loganville, GA 30052
Phone (676) 466-6760

367 Athens Hwy
Ste 100A
Loganville, GA 30052
Phone (678) 466-6760

Interoperability endpoints

  • Direct secure messaging: angelina.postoev.1@14247.direct.athenahealth.com
  • Direct secure messaging: angelina.postoev.3@14247.direct.athenahealth.com
  • Direct secure messaging: angelina.postoev.2@14247.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14247/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394755200000",
    "number": "1558539155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 ATHENS HWY",
            "address_2": "BLD 100 SUITE 100A",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300522204",
            "telephone_number": "678-466-6760",
            "fax_number": "678-802-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 ATHENS HWY",
            "address_2": "BLD 100 SUITE 100A",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300522204",
            "telephone_number": "678-466-6760",
            "fax_number": "678-802-7094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POSTOEV",
        "first_name": "ANGELINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-15",
        "last_updated": "2014-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "66401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loganville, GA

Sources for this page

Verify at the official NPI Registry.