Angus Lake Infusion Services
NPI 1063855211 · Durable Medical Equipment & Medical Supplies · Gordon, GA
Angus Lake Infusion Services is a Durable Medical Equipment & Medical Supplies organization in Gordon, GA (NPI 1063855211).
Provider details
- NPI number
- 1063855211
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Carl Stanley, Member(478) 387-2399
- License
- PHHH000055 (GA)
Specialties & taxonomies
Suppliers
Suppliers
Suppliers
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Angus Lake Vital Care
Registry dates
- Enumerated
- 2013-04-08
- Last updated
- 2013-10-18
Frequently asked questions
- What is Angus Lake Infusion Services's NPI number?
- Angus Lake Infusion Services's National Provider Identifier (NPI) is 1063855211, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Angus Lake Infusion Services?
- Angus Lake Infusion Services is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Angus Lake Infusion Services located?
- Angus Lake Infusion Services's practice location on file with NPPES is 240 Milledgeville Rd, Gordon, GA 31031-3827.
- What is Angus Lake Infusion Services's phone number?
- The practice phone number listed in the NPPES registry for Angus Lake Infusion Services is (478) 387-2399.
- Who is the authorized official for Angus Lake Infusion Services?
- The authorized official listed on Angus Lake Infusion Services's NPPES record is Carl Stanley, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Angus Lake Infusion Services's NPI active?
- Yes — Angus Lake Infusion Services's NPI (1063855211) is active in the NPPES registry as of the last update on 2013-10-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.