Angelique A Mole, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

88770 Issued in GA

Practice address

1226 Dantignac St
Augusta, GA 30901-2788

Phone

(706) 922-0600

Fax

(706) 922-0603

NPI assigned

Apr 3, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Family Practice

Education

Medical University of South Carolina College of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christ Community Health Services Augusta, Inc.Group PAC ID 6608953633, 20 clinicians

Georgialina Physical Therapy Associates LLCGroup PAC ID 6002812401, 406 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Piedmont Augusta Hospital Hospital, Augusta, GA, CCN 110028
• Wellstar MCG Health, Affiliated With Med Col Hospital, Augusta, GA, CCN 110034

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Christ Community Health Services Augusta, Inc.

  • Primary Care Clinic/Center
  • Augusta, GA
  • NPI 1174716989

  Family Medicine, GA

  Medicare reassignment Care Compare group NPD
• Christ Community Health Services Augusta, Inc

  • Federally Qualified Health Center (FQHC)
  • Augusta, GA
  • NPI 1043568264
  Care Compare group NPD (past)
• Christ Community Health Services Augusta, Inc

  • Federally Qualified Health Center (FQHC)
  • Augusta, GA
  • NPI 1073192985
  Care Compare group NPD (past)
• Christ Community Health Services Augusta, Inc

  • Federally Qualified Health Center (FQHC)
  • Augusta, GA
  • NPI 1992448476
  Care Compare group NPD (past)
• Christ Community Health Services Augusta, Inc

  • Federally Qualified Health Center (FQHC)
  • Augusta, GA
  • NPI 1588912703
  Care Compare group
• Georgialina Physical Therapy Associates LLC

  • Physical Therapist
  • Augusta, GA
  • NPI 1679286934
  Care Compare group
• Georgialina Physical Therapy Associates LLC

  • Physical Therapy Clinic/Center
  • North Augusta, SC
  • NPI 1427164714
  Care Compare group
• Christ Community Health Services Augusta, Inc

  • Dental Clinic/Center
  • Augusta, GA
  • NPI 1104630748
  NPD
• Self Medical Group

  • Gastroenterology Physician
  • Greenwood, SC
  • NPI 1841047560
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Au Medical Center, Inc

  • General Acute Care Hospital
  • Augusta, GA
  • NPI 1437135902

  Hospital

  Care Compare affiliation
• University Health Services,Inc

  • General Acute Care Hospital
  • Augusta, GA
  • NPI 1588665566

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1659877264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2344",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309032344",
            "telephone_number": "706-922-0600",
            "fax_number": "706-922-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 DANTIGNAC ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012788",
            "telephone_number": "706-922-0600",
            "fax_number": "706-922-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLE",
        "first_name": "ANGELIQUE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "52682",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "88770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aurash David Mohebbi, MD
• Pramila Pallikkappara Moideen, MD
• Miriam Mokhtar
• Nancy G Molder
• Christopher Michael Moldovan, D.M.D.
• Joy M Moles, CRNA
• Joanna Molina, MS, MA
• Agnes Molindo
• Anthony Guy Mollica Jr., DDS
• Karen G Monaco, OTR

• All providers in Augusta, GA
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.