Active NPI
Harsh Trikambhai Dangaria, M.D.
- Pain Medicine Physician
- Saint Marys, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- ME127695
- Practice address
- 2060 Dan Proctor Dr Ste 3300
Saint Marys, GA 31558-3894 - Phone
- (912) 324-4080
- Fax
- (912) 324-4097
- NPI assigned
- Jul 11, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 072551 | GA | |
| Physical Medicine & Rehabilitation Physician | 208100000X | ME127695 | FL | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 072551 | GA | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | ME127695 | FL | |
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | ME127695 | FL | |
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | 072551 | GA | |
| Pain Medicine Physician | 208VP0000X | 072551 | GA | |
| Interventional Pain Medicine Physician | 208VP0014X | 072551 | GA | |
| Interventional Pain Medicine Physician | 208VP0014X | ME127695 | FL | |
| Pain Medicine Physician | 208VP0000X | ME127695 | FL | Primary |
Addresses
Primary practice location
2060 Dan Proctor Dr Ste 3300
Saint Marys, GA 31558-3894
Mailing address
2060 Dan Proctor Dr Ste 3300
Saint Marys, GA 31558-3894
Phone (912) 324-4080
Other practice location 1
943 Cesery Blvd Ste G
Jacksonville, FL 32211-5655
Phone (912) 324-4080
Other practice location 2
2600 Parkwood Dr
Brunswick, GA 31520-4725
Phone (912) 324-4080
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003148565B | Medicaid | GA | |
| 003148565D | Medicaid | GA | |
| IY993X | Other | FL | MEDICARE |
| 003148565A | Medicaid | GA | |
| 7100319260 | Medicaid | KY | |
| 003148565C | Medicaid | GA | |
| 003148565E | Medicaid | GA | |
| 003148565F | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140909002301 | GA | Practitioner - Pain Management | 3870712672 | Practice locations: Marietta, GA |
| I20151125001898 | GA | Practitioner - Physical Medicine and Rehabilitation | 3870712672 | Reassigns benefits to 1 organization |
| I20170620001739 | FL | Practitioner - Physical Medicine and Rehabilitation | 3870712672 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2060 Dan Proctor Dr
Suite 3300
Saint Marys, GA 31558-3894
Phone (912) 324-4080
Hospital & facility affiliations
- Southeast Georgia Health System -- Camden Campus
- Southeast Georgia Health System- Brunswick Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 072551 | GA | MD | Addiction Medicine (Preventive Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles K Friedman DO PA | Interventional Pain Medicine | Current | Accepting new patients |
| Guardian Medical Care PLLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Guardian Medical Care PLLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Artistic Psychiatric Associates LLC | Past | Accepting new patients | |
| Norton Hospitals, Inc | Pain Medicine | Past | Accepting new patients |
Locations
1320 S Belcher Rd
Clearwater, FL 33764
Phone (727) 518-8660
943 Cesery Blvd
Ste G
Jacksonville, FL 32211
Phone (904) 745-0067
5767 49th St N
St Petersburg, FL 33709
Phone (727) 350-0450
3450 E Fletcher Ave
Ste 350
Tampa, FL 33613
Phone (813) 739-7493
4730 N Habana Ave
Ste 104
Tampa, FL 33614
Phone (813) 426-8260
3450 E Fletcher Ave
Ste 210A
Tampa, FL 33613
2600 Parkwood Dr
Brunswick, GA 31520
Phone (912) 264-9999
2060 Dan Proctor Dr
Ste 3300
Saint Marys, GA 31558
Phone (912) 324-4080
Interoperability endpoints
- harsh.dangaria@direct.einstein.edu
- harsh.dangaria@ppoa.directbygreenway.com
- https://fhir.meditouchehr.com/api/fhir/r4/
- harsh.dangaria@gmcl-ga.direct.office.nextgen.com
Organizations & group practices 7
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.
-
- Pain Medicine Physician
- Saint Marys, GA
- NPI 1720609381
FL, GA, Physical Medicine & Rehabilitation
-
- Interventional Pain Medicine Physician
- St Petersburg, FL
- NPI 1982622775
FL, Interventional Pain Medicine
-
- Pain Medicine Physician
- Brunswick, GA
- NPI 1538804133
Physical Medicine & Rehabilitation
-
- Psychiatric/Mental Health Nurse Practitioner
- Jacksonville, FL
- NPI 1407320690
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Marys, GA
- NPI 1194744326
Hospital
-
- General Acute Care Hospital
- Brunswick, GA
- NPI 1598784720
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718668800000",
"number": "1861789992",
"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": "912-324-4097",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DANGARIA",
"first_name": "HARSH",
"middle_name": "TRIKAMBHAI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-11",
"last_updated": "2024-06-18",
"certification_date": "2024-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "GA",
"license": "072551",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "FL",
"license": "ME127695",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "GA",
"license": "072551",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "FL",
"license": "ME127695",
"primary": false
},
{
"code": "2083A0300X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Addiction Medicine",
"state": "FL",
"license": "ME127695",
"primary": false
},
{
"code": "2083A0300X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Addiction Medicine",
"state": "GA",
"license": "072551",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "GA",
"license": "072551",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "GA",
"license": "072551",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "FL",
"license": "ME127695",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "FL",
"license": "ME127695",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003148565B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003148565D",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "IY993X",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003148565A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100319260",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003148565C",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003148565E",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003148565F",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Marys, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.