Individual provider Active NPI

Paul August Gianakon, M.D.

  • Psychiatry Physician
  • Elkton, MD
National Provider Identifier
1578698486
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0045088 Issued in MD
Practice address
801 E Pulaski Hwy Ste 143
Elkton, MD 21921-6671
Phone
(855) 922-1202
Fax
(888) 314-7961
NPI assigned
Feb 22, 2007
Last updated
Sep 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D0045088 MD Primary

Addresses

Primary practice location

801 E Pulaski Hwy Ste 143
Elkton, MD 21921-6671

Mailing address

329 Detjen Dr
Hockessin, DE 19707-1910
Phone (302) 494-9596

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20081126000228 MD Practitioner - PsychiatryPractitioner - Internal Medicine 4183784887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Internal Medicine
Education
Eastern Virginia Medical School, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

200 Booth St
Elkton, MD 21921-5657
Phone (410) 996-5104

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Bay Counseling and Support Services, Inc CurrentSince Apr 11, 2011 Accepting new patients
Upper Bay Counseling & Support Services, Inc. CurrentSince Apr 11, 2011 Accepting new patients
Psychotherapeutic Community Services, Inc Past Accepting new patients

Locations

200 Booth St
Elkton, MD 21921
Phone (410) 996-3400

Organizations & group practices 3

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": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1578698486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 DETJEN DR",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197071910",
            "telephone_number": "302-494-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E PULASKI HWY STE 143",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216671",
            "telephone_number": "855-922-1202",
            "fax_number": "888-314-7961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANAKON",
        "first_name": "PAUL",
        "middle_name": "AUGUST",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0045088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

Verify at the official NPI Registry.