Guardian Medical Care PLLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

GUARDIAN MEDICAL CARE PLLC

Doing business as

Center for Spine Pain & Headache Medicine

Practice address

2060 Dan Proctor Dr Ste 3300
Saint Marys, GA 31558-3894

Phone

(912) 324-4080

Fax

(912) 324-4097

NPI assigned

May 5, 2020

Last updated

Oct 25, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Harsh Trikambhai Dangaria, MDNPI 1861789992

Title

Physician

Phone

(912) 324-4080

Specialties & licenses 5

Addresses

Other names 1

• Center for Spine Pain & Headache Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in GA, FL2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Harsh Trikambhai Dangaria, M.D.

  • Pain Medicine Physician
  • Saint Marys, GA
  • NPI 1861789992

  FL, Physical Medicine & Rehabilitation

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635120000000",
    "number": "1720609381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 DAN PROCTOR DR STE 3300",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583894",
            "telephone_number": "912-324-4080",
            "fax_number": "912-324-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 DAN PROCTOR DR STE 3300",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583894",
            "telephone_number": "912-324-4080",
            "fax_number": "912-324-4097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "943 Cesery Blvd Ste G",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322115655",
            "country_code": "US",
            "telephone_number": "912-324-4080",
            "fax_number": "912-324-4097",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 Parkwood Dr",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "GA",
            "postal_code": "315204725",
            "country_code": "US",
            "telephone_number": "912-324-4080",
            "fax_number": "912-324-4087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GUARDIAN MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-05",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "DANGARIA",
        "authorized_official_first_name": "HARSH",
        "authorized_official_middle_name": "TRIKAMBHAI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "912-324-4080",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Spine Pain & Headache Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Benjamin Hill Greer, DMD
• Brandi Jo Grimes, QASP-S
• Alexandra Reagan Griner
• Heather Groom, LCSW
• Lucinda Gross Bedgood, M.ED., CCC-SLP
• H2 Rehabilitation Services of Florida, LLC (H2 Health)
• Paula Sue Hahn, RN, BSN BC-NC
• Cassidy Harkins
• Todd Edward Harlos, PA-C
• Shonta Harper, LPC

• Pain Medicine Physician in Saint Marys, GA
• Providers in Saint Marys, GA by specialty
• Pain Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.