Individual provider Active NPI

Harsh Trikambhai Dangaria, M.D.

  • Pain Medicine Physician
  • Saint Marys, GA
National Provider Identifier
1861789992
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
ME127695 Issued in FL
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

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
003148565BMedicaidGA
003148565DMedicaidGA
IY993XOtherFLMEDICARE
003148565AMedicaidGA
7100319260MedicaidKY
003148565CMedicaidGA
003148565EMedicaidGA
003148565FMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL3 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
I20140909002301 GA Practitioner - Pain ManagementPractitioner - Physical Medicine and Rehabilitation 3870712672 Practice locations: Marietta, GA
I20151125001898 GA Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 3870712672 Reassigns benefits to 1 organization
I20170620001739 FL Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain ManagementPractitioner - Pain Management 3870712672 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
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 Hospital, Saint Marys, GA, CCN 110146
  • Southeast Georgia Health System- Brunswick Campus Hospital, Brunswick, GA, CCN 110025

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
072551GAMDAddiction Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charles K Friedman DO PA Interventional Pain Medicine CurrentSince May 1, 2020 Accepting new patients
Guardian Medical Care PLLC Physical Medicine & Rehabilitation CurrentSince Apr 15, 2020 Accepting new patients
Guardian Medical Care PLLC Physical Medicine & Rehabilitation Current Accepting new patients
Artistic Psychiatric Associates LLC PastSince Oct 8, 2023 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

  • Direct secure messaging: harsh.dangaria@direct.einstein.edu
  • Direct secure messaging: harsh.dangaria@ppoa.directbygreenway.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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.

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    "practiceLocations": [
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        }
    ],
    "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"
    },
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    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, GA

Sources for this page

Verify at the official NPI Registry.