Individual provider Active NPI

Angela G Stiles, PA

  • Pulmonary Disease Physician
  • Athens, GA
National Provider Identifier
1669473245
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
004008 Issued in GA
Practice address
3320 Old Jefferson Road
BLDG 200 Ste a
Athens, GA 30607
Phone
(706) 549-5560
Fax
(706) 353-0636
NPI assigned
Aug 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 004008 GA
Pulmonary Disease Physician 207RP1001X 004008 GA Primary

Addresses

Primary practice location

3320 Old Jefferson Road
BLDG 200 Ste a
Athens, GA 30607

Mailing address

3320 Old Jefferson Road
BLDG 200 Ste a
Athens, GA 30607
Phone (706) 549-5560

Other identifiers 1

IdentifierTypeStateIssuer
386137122AMedicaidGA

Other names 1

  • Angela M Graham Former name

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
I20051014000078 GA Practitioner - Physician Assistant 5799700159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Emory University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athens Pulmonary and Allergy, P.C.Group PAC ID 0547219958, 23 clinicians

Practice addresses (Care Compare)

3320 Old Jefferson Rd
Athens, GA 30607-1400
Phone 7065495560223

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.71 of 100Reported as group
Quality
73.45
Promoting interoperability
100
Improvement activities
40
Cost
80.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
004008GAMDMedical Physician Assistant

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1669473245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 OLD JEFFERSON ROAD",
            "address_2": "BLDG 200 STE A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30607",
            "telephone_number": "706-549-5560",
            "fax_number": "706-353-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 OLD JEFFERSON ROAD",
            "address_2": "BLDG 200 STE A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30607",
            "telephone_number": "706-549-5560",
            "fax_number": "706-353-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILES",
        "first_name": "ANGELA",
        "middle_name": "G",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "004008",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "004008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "386137122A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "GRAHAM",
            "middle_name": "M",
            "credential": "P.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.