Active NPI
Alan Joseph Deangelo, M.D.
- Pulmonary Disease Physician
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 0101102540
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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, Inc
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborhood Improvement Project, Inc | Current | Accepting new patients | |
| Neighborhood Improvement Project Inc | Current | Accepting new patients | |
| Vibra Physicians LLC | Current | 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
- 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.
-
- Primary Podiatric Medicine Podiatrist
- Evans, GA
- NPI 1124984224
-
- Federally Qualified Health Center (FQHC)
- Evans, GA
- NPI 1740158922
-
- Federally Qualified Health Center (FQHC)
- Augusta, GA
- NPI 1700900867
-
- Federally Qualified Health Center (FQHC)
- Wrens, GA
- NPI 1760815773
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Augusta, GA
- NPI 1912951963
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.