Individual provider Active NPI

Angelica Betina Vazquez Anaya, M.D.

  • Psychiatry Physician
  • Madison, AL
National Provider Identifier
1750507794
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD.52357 Issued in AL
Practice address
600 Sun Temple Dr
Madison, AL 35758-8643
Phone
(256) 288-3333
Fax
(256) 429-9411
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2012-01125 NC
Psychiatry Physician 2084P0800X 67623 GA
Psychiatry Physician 2084P0800X MD.52357 AL Primary

Addresses

Primary practice location

600 Sun Temple Dr
Madison, AL 35758-8643

Mailing address

600 Sun Temple Dr
Madison, AL 35758-8643
Phone (256) 975-4291

Other practice location 1

428 Biltmore Ave
Asheville, NC 28801-4502
Phone (828) 213-4502

Other practice location 2

200 Wisteria Dr
Gainesville, GA 30501-3827
Phone (770) 219-5407

Other practice location 3

4565 rockmart road se
unit 1261
silver creek, GA 30173-9998
Phone (706) 388-1176

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address avazquez191853@balladhealth.medalliesdirect.net Direct Blue Ridge Medical Management Corporation
Direct Messaging Address avazquez164609@nghs.gadirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN, AL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20130515000098 GA Practitioner - Psychiatry 2668619420 Reassigns benefits to 2 organizations
I20200130000649 TN Practitioner - Psychiatry 2668619420 Reassigns benefits to 2 organizations
I20251010000040 AL Practitioner - Psychiatry 2668619420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Behavioral Health IncGroup PAC ID 7416194113, 109 clinicians

Practice addresses (Care Compare)

1497 W Elk Ave
Elizabethton, TN 37643-2896

400 N State of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 431-4847

408 N State of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 431-4946

731 Leighton Ave
Suite 401
Anniston, AL 36207-5766
Phone (256) 288-3333

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
67623GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HHC St. Simons Inc CurrentSince Apr 25, 2017 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Oct 12, 2019 Accepting new patients
Northeast Georgia Physicians Group Inc CurrentSince May 27, 2023 Accepting new patients
Wellmont Medical Associates, Inc. Psychiatry CurrentSince May 1, 2021 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Oct 12, 2019 Accepting new patients
Integrated Behavioral Health, Inc. Psychiatry CurrentSince Sep 25, 2025 Accepting new patients
Wellmont Medical Associates Inc CurrentSince May 1, 2021 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
The Health Care Authority of the City of Anniston Past Accepting new patients
Abva, Inc Past Accepting new patients
The Health Care Authority of the City of Anniston Past Accepting new patients

Locations

731 Leighton Ave
Ste 401
Anniston, AL 36207
Phone (256) 435-2229

600 Sun Temple Dr
Madison, AL 35758
Phone (256) 325-2627

200 Wisteria Dr
Gainesville, GA 30501
Phone (770) 219-3800

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

2927 Demere Rd
St Simons Island, GA 31522
Phone (912) 638-1999

25850 Main St
Ardmore, TN 38449
Phone (931) 427-4050

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

403 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-7042

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15682/brand/1/csg/1/fhir/r4

Organizations & group practices 11

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.

Hospital & facility affiliations 3

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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1750507794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SUN TEMPLE DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588643",
            "telephone_number": "256-975-4291",
            "fax_number": "256-325-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SUN TEMPLE DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588643",
            "telephone_number": "256-288-3333",
            "fax_number": "256-429-9411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "428 Biltmore Ave",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014502",
            "country_code": "US",
            "telephone_number": "828-213-4502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Wisteria Dr",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305013827",
            "country_code": "US",
            "telephone_number": "770-219-5407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4565 rockmart road se",
            "address_2": "unit 1261",
            "address_purpose": "LOCATION",
            "city": "silver creek",
            "state": "GA",
            "postal_code": "301739998",
            "country_code": "US",
            "telephone_number": "706-388-1176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAZQUEZ ANAYA",
        "first_name": "ANGELICA",
        "middle_name": "BETINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2012-01125",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "67623",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "MD.52357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "avazquez191853@balladhealth.medalliesdirect.net",
            "affiliation": "Y",
            "endpointDescription": "Ballad Health Care Everywhere",
            "affiliationName": "Blue Ridge Medical Management Corporation",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "403 N State Of Franklin Rd",
            "city": "Johnson City",
            "state": "TN",
            "country_code": "US",
            "postal_code": "376046034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "avazquez164609@nghs.gadirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "200 Wisteria Dr",
            "city": "Gainesville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305013827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.