Active NPI
Angelo Nocentelli
- Radiography Radiologic Technologist
- Ellenwood, GA
National Provider Identifier
1669327516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiography Radiologic Technologist
- License
- 352497
- Practice address
- 492 Trinity TRL
Ellenwood, GA 30294-4521 - Phone
- (404) 321-6111
- NPI assigned
- Mar 4, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiography Radiologic Technologist | 2471C3402X | 352497 | GA | Primary |
Addresses
Primary practice location
492 Trinity TRL
Ellenwood, GA 30294-4521
Mailing address
492 Trinity TRL
Ellenwood, GA 30294-4521
Phone (404) 321-6111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 352497 | GA | MD | Radiography Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772582400000",
"number": "1669327516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "492 TRINITY TRL",
"city": "ELLENWOOD",
"state": "GA",
"postal_code": "302944521",
"telephone_number": "404-321-6111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "492 TRINITY TRL",
"city": "ELLENWOOD",
"state": "GA",
"postal_code": "302944521",
"telephone_number": "404-321-6111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOCENTELLI",
"first_name": "ANGELO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-03-04",
"last_updated": "2026-03-04",
"certification_date": "2026-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "2471C3402X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Radiography",
"state": "GA",
"license": "352497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellenwood, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.