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Deactivated NPI 1962409219 Deactivated / Inactive NPI Male Practitioner

Dr. Nikolay Bangiyev , MD

Specialist • Dublin, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Nikolay Bangiyev has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 01, 2005
NPI Deactivation Date March 20, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Nikolay Bangiyev, MD was a registered Specialist practicing in Dublin, GA. Throughout an active medical career spanning 1 years, Dr. Bangiyev provided care at the practice location at 206 FAIRVIEW PARK DR until profile deactivation on 2006-03-20.

Historical Medicare Part B clinical services included established patient outpatient office visit, new patient outpatient office visit, needle measurement of electrical activity in arm or leg muscles, complete study. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

206 Fairview Park Dr

Dublin, GA 310212547

Telephone 4782967677
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Dublin, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 52.0 Yrs
State Avg: 36.1 Yrs
Regional Practice Density
6 Specialists

Practicing in Dublin, GA (979 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
50.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
363 222 $96.40 $78.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
289 190 $128.16 $111.56
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
74 74 $427.68 $194.48
95886 Needle measurement of electrical activity in arm or leg muscles, complete study
46 25 $204.85 $80.23
95816 Measurement of brain wave activity (eeg), awake and drowsy
45 42 $102.00 $49.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
28 28 $328.32 $145.56
95911 Nerve transmission studies, 9-10 studies
21 21 $417.90 $179.47

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License GA 049998

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00916253A (GA)
Commercial Insurance / Payer ID Phcs,preferred Care
140466XX (GA)
Commercial Insurance / Payer ID Blue Cross Blue Shield
52864485 (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Ashley Spires , PA-C

Physician Assistant - Surgical

NPI 1750536298

Physician Assistant (Certified)

Dr. Lauri Bullen , MD

Obstetrics & Gynecology

NPI 1760673917

Doctor of Medicine (M.D.)

Juaquasha Hackley

Nurse Practitioner - Women's Health

NPI 1801650668

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location July 08, 2007

Registered at 206 FAIRVIEW PARK DR, DUBLIN, GA 310212547 (Tel: 4782967677)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 16550, DUBLIN, GA 310406550 (Tel: 4782967677)

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Provider Name / Credentials Updated July 08, 2007

Recorded as NIKOLAY BANGIYEV, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #049998 in GA)

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NPI Profile Reactivated April 04, 2006

Record officially reactivated for active practice on April 04, 2006

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NPI Profile Deactivated March 20, 2006

Record deactivated on March 20, 2006

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Initial NPI Registration & Enumeration July 01, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962409219
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 01, 2005
Last Update: July 13, 2026
Deactivation Date: March 20, 2006
Sole Proprietor: No

Mailing Address

Po Box 16550

Dublin, GA 310406550

Phone: 4782967677

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.