Active NPI
Angampally G Rajeev, MD
- Interventional Cardiology Physician
- Lagrange, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 57240
- Practice address
- 1551 Doctors Drive
BLDG 200
Lagrange, GA 30240-4139 - Phone
- (706) 884-2641
- Fax
- (706) 884-2353
- NPI assigned
- Jun 14, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 057240 | GA | |
| Interventional Cardiology Physician | 207RI0011X | 04-32029 | KS | |
| Interventional Cardiology Physician | 207RI0011X | 057240 | GA | |
| Interventional Cardiology Physician | 207RI0011X | 57240 | GA | Primary |
Addresses
Primary practice location
1551 Doctors Drive
BLDG 200
Lagrange, GA 30240-4139
Mailing address
1551 Doctors Drive
Lagrange, GA 30240-4139
Phone (706) 884-2641
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
505 Jenkins St
Lagrange, GA 30240-4225
Phone (706) 407-0161
Hospital & facility affiliations
- Wellstar West Georgia Medical Center
- Piedmont Newnan Hospital, Inc
- Piedmont Fayette Hospital
- Wellstar Kennestone Regional Medical Center
- Emory University Hospital Midtown
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 11 |
| Pacemaker insertion or repair | 1-10 |
| Varicose vein removal | 19 |
| Leg revascularization (restoring blood flow) | 54 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-32029 | KS | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Health System in Waycross, Inc | Current | Accepting new patients | |
| Mayo Clinic Health System in Waycross, Inc. | Current | Accepting new patients | |
| Center for Podiatry Care | Interventional Cardiology | Current | Accepting new patients |
| Upson Surgical Associates, LLC | Current | Accepting new patients | |
| Integrated Regional Laboratories Pathology Services, LLC | Current | Accepting new patients | |
| Heart & Vascular Care of Georgia PC | Cardiovascular Disease | Current | Accepting new patients |
| Tanner Medical Group Inc | Cardiovascular Disease | Current | Accepting new patients |
| Lagrange Troup County Hospital Authority | Past | Accepting new patients |
Locations
157 Clinic Ave
Ste 302A
Carrollton, GA 30117
Phone (770) 812-5886
505 Jenkins St
Lagrange, GA 30240
Phone (706) 407-0161
1514 Vernon Rd
Lagrange, GA 30240
Phone (706) 812-2369
462 Furys Ferry Rd
Martinez, GA 30907
Phone (706) 868-0319
23 Old Atlanta Hwy
Ste 110
Newnan, GA 30263
Phone (678) 621-2345
612 W Gordon St
Ste B
Thomaston, GA 30286
Phone (706) 647-9433
690 Dallas Hwy
Ste 207A
Villa Rica, GA 30180
Phone (770) 456-3646
601 Dallas Hwy
Villa Rica, GA 30180
Phone (770) 456-3000
1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030
1921 Alice St
Ste 4B
Waycross, GA 31501
Phone (912) 285-5690
Interoperability endpoints
- angampally.rajeev@westgahealth.gadirect.net
- https://fhir4.healow.com/fhir/r4/HHFCCA
Organizations & group practices 9
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.
-
- Cardiovascular Disease Physician
- Lagrange, GA
- NPI 1801138045
-
- Multi-Specialty Clinic/Center
- Waycross, GA
- NPI 1154745982
-
- Cardiovascular Disease Physician
- Carrollton, GA
- NPI 1396979787
-
- Surgery Physician
- Thomaston, GA
- NPI 1790076974
-
- Urgent Care Clinic/Center
- Lagrange, GA
- NPI 1598223844
-
- Rural Acute Care Hospital
- Waycross, GA
- NPI 1558334334
-
- Anatomic Pathology & Clinical Pathology Physician
- Atlantis, FL
- NPI 1942526298
-
- General Acute Care Hospital
- Lagrange, GA
- NPI 1992779748
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1144203563
-
- General Acute Care Hospital
- Fayetteville, GA
- NPI 1528027240
-
- General Acute Care Hospital
- Marietta, GA
- NPI 1649248626
-
- General Acute Care Hospital
- Newnan, GA
- NPI 1134133002
-
- General Acute Care Hospital
- Lagrange, GA
- NPI 1821221144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346371200000",
"number": "1891738118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1551 DOCTORS DRIVE",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302404139",
"telephone_number": "706-884-2641",
"fax_number": "706-884-2353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1551 DOCTORS DRIVE",
"address_2": "BLDG 200",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302404139",
"telephone_number": "706-884-2641",
"fax_number": "706-884-2353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAJEEV",
"first_name": "ANGAMPALLY",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2012-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "GA",
"license": "057240",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "KS",
"license": "04-32029",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "GA",
"license": "057240",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "GA",
"license": "57240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lagrange, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; 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.