Nikolay Bangiyev, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

049998 Issued in GA

Practice address

206 Fairview Park Dr
Dublin, GA 31021-2547

Phone

(478) 296-7677

NPI assigned

Jul 1, 2005

Reactivated

Apr 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Neurology Center of Dublin LLC

  • Specialist
  • Dublin, GA
  • NPI 1912025941
  NPD (past) Authorized official
• Providence OBGYN LLC

  • Obstetrics & Gynecology Physician
  • Dublin, GA
  • NPI 1124750369
  NPD (past)

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1962409219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16550",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310406550",
            "telephone_number": "478-296-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 FAIRVIEW PARK DR",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212547",
            "telephone_number": "478-296-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANGIYEV",
        "first_name": "NIKOLAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2026-07-13",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "049998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS,PREFERRED CARE",
            "identifier": "140466XX",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "52864485",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00916253A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cena Baker, LMSW
• Veronica Baker, RN
• Bethany Joy Baldwin, NP
• Michael H Baldwin, M.D.
• Henry C Ballance, C.R.N.A.
• Shequrrior Banks, FNP-BC
• Charlotte Lucile Barber, NURSE PRACTITIONERRN
• Jon Willis Barden, D.D.S.
• Anthony Edward Barnes, M.D
• Brianne Michala Barnette, REGISTERED NURSE

• All providers in Dublin, GA
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.