Jose R Villongco, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

GA042479 Issued in GA

Practice address

2406 Macy Dr
Roswell, GA 30076-6343

Phone

(770) 331-0812

Fax

(770) 910-9040

NPI assigned

Feb 6, 2006

Last updated

Sep 22, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• CTV Medical Inc.

  • Psychiatry Physician
  • Roswell, GA
  • NPI 1467901124
  Medicare reassignment NPD Authorized official
• Cumberland Psychiatric Group

  dba CPG

  • Psychiatry Physician
  • Roswell, GA
  • NPI 1629103858
  NPD (past)
• Fulton County Mental Health Center

  • Community/Behavioral Health Agency
  • Atlanta, GA
  • NPI 1437299625
  NPD (past)
• Fulton County Mhddad

  dba West Mental Health Center

  • Community/Behavioral Health Agency
  • Atlanta, GA
  • NPI 1285700682
  NPD (past)

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474502400000",
    "number": "1942272729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 MACY DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300766343",
            "telephone_number": "770-331-0812",
            "fax_number": "770-910-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 MACY DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300766343",
            "telephone_number": "770-331-0812",
            "fax_number": "770-910-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLONGCO",
        "first_name": "JOSE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2016-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "GA042479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desiree Villadolid, M.D.
• Village Podiatry Group, L.L.C.
• Village Podiatry Group, LLC.
• Village Podiatry Group, LLC.
• Villar Dentistry Roswell LLC
• Vine Medical Associates, PC
• Vision Care & Therapy Center, Inc
• Visualeyes, Inc
• Vitalita Chiropractic & Wellness Center, LLC
• Vitality Sports Chiropractic (On Solid Ground)

• Psychiatry Physician in Roswell, GA
• Providers in Roswell, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.

Verify at the official NPI Registry.