Individual provider Active NPI

Alan Joseph Deangelo, M.D.

  • Pulmonary Disease Physician
  • Augusta, GA
National Provider Identifier
1982741237
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
0101102540 Issued in VA
Practice address
3623 J Dewey Gray Cir
Augusta, GA 30909-6511
Phone
(706) 922-7400
Fax
(706) 644-0965
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 0101102540 VA Primary

Addresses

Primary practice location

3623 J Dewey Gray Cir
Augusta, GA 30909-6511

Mailing address

300 Hospital Road
Eisenhower Army Medical Center, Attn Credentials
Ft Gordon, GA 30905-5650
Phone (706) 787-2252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, VA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20110405000718 GA Practitioner - Pulmonary Disease 4688858343 Reassigns benefits to 1 organization
Practice locations: Fort Gordon, GA
I20171115003460 VA Practitioner - Internal Medicine 4688858343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neighborhood Improvement Project, IncGroup PAC ID 7315851078, shared by 25 NPIs, 68 clinicians

Practice addresses (Care Compare)

2467 Golden Camp Rd
Augusta, GA 30906-5515
Phone (706) 790-4440

3685 Wheeler Rd
Augusta, GA 30909-6640
Phone (706) 790-4440

Hospital & facility affiliations

  • Doctors Hospital Hospital, Augusta, GA, CCN 110177

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Improvement Project, Inc CurrentSince Jul 23, 2018 Accepting new patients
Neighborhood Improvement Project Inc CurrentSince Jul 23, 2018 Accepting new patients
Vibra Physicians LLC CurrentSince Aug 19, 2017 Accepting new patients
Neighborhood Improvement Project, Inc Past Accepting new patients

Locations

5 E River Park Pl E
Ste 460
Fresno, CA 93720

3623 J Dewey Gray Cir
Ste 107
Augusta, GA 30909
Phone (706) 922-7400

2467 Golden Camp Rd
Augusta, GA 30906
Phone (706) 922-0682

3624 J Dewey Gray Cir
Ste 308
Augusta, GA 30909
Phone (706) 210-7529

2220 Edward Holland Dr
Richmond, VA 23230
Phone (804) 678-7000

Interoperability endpoints

  • Direct secure messaging: alan.deangelo@mapbt.eclinicaldirectplus.com

Organizations & group practices 5

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 1

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.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1982741237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HOSPITAL ROAD",
            "address_2": "EISENHOWER ARMY MEDICAL CENTER, ATTN CREDENTIALS",
            "city": "FT GORDON",
            "state": "GA",
            "postal_code": "309055650",
            "telephone_number": "706-787-2252",
            "fax_number": "706-787-6829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3623 J DEWEY GRAY CIR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096511",
            "telephone_number": "706-922-7400",
            "fax_number": "706-644-0965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEANGELO",
        "first_name": "ALAN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0101102540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.