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DR. JOHN GLENN ANGELO M.D.
NPI 1609942184
Family Medicine in Fort Gordon, GA

Active since November 28, 2006PECOS Enrolled
300 W HOSPITAL ROAD, EISENHOWER ARMY MEDICAL CENTER ATTN CREDENTIALS, FORT GORDON, GA 30905(706) 787-2720(706) 787-8176 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Glenn Angelo M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN GLENN ANGELO M.D. (NPI 1609942184) is an individual family medicine provider in Fort Gordon, Georgia, licensed in Georgia (056088) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609942184
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOHN GLENN ANGELOCredential: M.D.
Location Address300 W HOSPITAL ROAD, EISENHOWER ARMY MEDICAL CENTER ATTN CREDENTIALSFort Gordon, GA 30905-5650
Mailing Address300 W Hospital Road, Eisenhower Army Medical Center Attn CredentialsFort Gordon, GA 30905-5650 · (706) 787-2720 · Fax (706) 787-8176
Phone(706) 787-2720
Fax(706) 787-8176
Sole ProprietorYes
Enumeration DateNovember 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1609942184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 056088
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
300 W HOSPITAL ROAD, Fort Gordon, GA 30905
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Other Identifiers 1

Medicare UPINVAD 000GA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John Glenn Angelo M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ERIC LARSON DOANE DO
Family Medicine (Adult Medicine)
300 W HOSPITAL ROAD, EISENHOWER ARMY MEDICAL CENTER, ATTN CREDENTIALS
FORT GORDON, GA 30905
Richmond County (706) 787-2183
HELEN ANN SANTIAGO OTR
Military Health Care Provider
300 W HOSPITAL ROAD, EISENHOWER ARMY MEDICAL CENTER
FORT GORDON, GA 30905
Richmond County (706) 787-2720
DONNA ELAINE MOORE CRNA
Nurse Anesthetist, Certified Registered
300 W HOSPITAL ROAD, EISENHOWER ARMY MEDICAL CENTER ATTN CREDENTIALS
FORT GORDON, GA 30905
Richmond County (707) 787-2720
MR. CHRISTOPHER MICHAEL BLAND PHARM.D.
Pharmacist (Pharmacotherapy)
300 W HOSPITAL ROAD, EISENHOWER ARMY MEDICAL CENTER
FORT GORDON, GA 30905
Richmond County (706) 787-2720
DR. GAIL MARIE GLUSHKO MD
Allergy & Immunology
300 W HOSPITAL ROAD, EISENHOWER ARMY MEDICAL CENTER ATTN CREDENTIALS
FORT GORDON, GA 30905
Richmond County (706) 787-2720
EISENHOWER ARMY MEDICAL CENTER
Military Hospital
300 W HOSPITAL ROAD, EISENHOWER ARMY MEDICAL CENTER CREDENTIALS
FORT GORDON, GA 30905
Richmond County (706) 787-2720
MS. TAMMY REEDER
Registered Nurse (Case Management)
300 W HOSPITAL ROAD
FT. GORDON, GA 30905
Richmond County (706) 787-2552
MOO O HWANG M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
300 W HOSPITAL ROAD, EISENHOWER ARMY MEDICAL CENTER
FORT GORDON, GA 30905
Richmond County (706) 787-8361

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Angelo's NPI number?

The NPI number for John Angelo is 1609942184. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is John Angelo located?

John Angelo practices at 300 W Hospital Road Eisenhower Army Medical Center Attn Credentials, Fort Gordon, GA 30905. The listed phone number is (706) 787-2720.

What is John Angelo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is John Angelo enrolled in Medicare?

Yes. John Angelo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Angelo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.