CLYDE T ANGEL, DMin — NPI 1093820318 (Licensed & Credentialed Counselor, Pastoral in DECATUR, GA)

CMS-1500 Box 24J / 33a • NPI

1093820318

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

101YP1600X

Licensed & Credentialed Counselor, Pastoral

Box 32 Service Location & ZIP+4

1670 CLAIRMONT RD, DECATUR, GA, 30033-4004

✓ 9-Digit EDI 837 ZIP+4 (30033-4004)

Practice Phone & Referral Fax

(404) 321-6111

Fax: (404) 329-2235

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1093820318 (CLYDE T ANGEL, DMin) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1093820318` (NPI-1 Individual Practitioner)
Provider / Legal Name	CLYDE T ANGEL, DMin
Plain-English Specialty	Licensed & Credentialed Counselor, Pastoral NUCC Code: `101YP1600X` (Counselor, Pastoral)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1670 CLAIRMONT RD, DECATUR, GA, 30033-4004
Practice Telephone / Fax	Tel: (404) 321-6111 \| Fax: (404) 329-2235
Administrative Mailing Address	6025 BRANDEN HILL LN, BUFORD, GA, 30518-2225
Enumeration & Last Sync	Enumerated: 2006-08-19 \| CMS Record Updated: 2007-07-08

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1670 CLAIRMONT RD, DECATUR, GA, 30033-4004

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Plain-English Taxonomy & CMS Crosswalk (101YP1600X)

What Does Taxonomy Code 101YP1600X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 101YP1600X translates to:
"Licensed & Credentialed Counselor, Pastoral"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Counselor, Pastoral for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CLYDE T ANGEL, DMin)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`101YP1600X` — Counselor, Pastoral Plain English: Licensed & Credentialed Counselor, Pastoral	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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CLYDE T ANGEL, DMin (NPI #1093820318)