CSRA INTERNAL MEDICINE ASSOCIATES, PC (NPI# 1164692786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164692786 |
| Entity Type | Organization |
| Organization Name | CSRA INTERNAL MEDICINE ASSOCIATES, PC |
| Practice Address |
1109 Medical Center Dr Suite 1a Augusta GA 30909-6633 |
| Practice Telephone | 7068689797 |
| Practice Fax Number | 7068689820 |
| Mailing Telephone | 7068689797 |
| Mailing Fax Number | 7068689820 |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2013-03-19 |
| Authorized Official Name | DR. ABRAHAM STULBERGER (PRESIDENT) |
| Authorized Official Telephone | 7068689797 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | 028656 | GA | Other Service Providers |
| Street Address |
1109 MEDICAL CENTER DR SUITE 1A |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30909-6633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174521132 | Michael Lynn Whitlow | Specialist | 1109 Medical Center Dr, Building #5, Augusta, GA 30909-6633 | 2005-07-13 |
| 1245422112 | Coastal Air, Inc | Ambulance | 1109 Medical Center Dr, Bldg 4, Augusta, GA 30909-6633 | 2007-08-15 |
| 1942408216 | Stephens Clinic LLC | Anesthesiology | 1109 Medical Center Dr, Suite 8a, Augusta, GA 30909-6633 | 2007-07-06 |
| 1588873400 | Russell S Stephens | Anesthesiology | 1109 Medical Center Dr, 8a, Augusta, GA 30909-6633 | 2007-05-21 |
| 1437299211 | West Augusta Internal Medicine Associates | Internal Medicine | 1109 Medical Center Dr, Building 3, Augusta, GA 30909-6633 | 2007-02-08 |
| 1265503841 | Leslie N Kahn | Legal Medicine | 1109 Medical Center Dr, Suite 1a, Augusta, GA 30909-6633 | 2006-11-13 |
| 1114037629 | Michael J. Cohen, M.d., P.C. | Specialist | 1109 Medical Center Dr, Suite 8b, Augusta, GA 30909-6633 | 2006-08-30 |
| 1396786760 | Augusta Renal Physicians, P.C. | Internal Medicine | 1109 Medical Center Dr, Building #5, Augusta, GA 30909-6633 | 2006-06-09 |
| 1730168428 | Kelly A Mcsweeney | Pathology | 1109 Medical Center Dr, Suite 1a, Augusta, GA 30909-6633 | 2006-01-11 |
| 1639161102 | Audrey M Henderson | Family Medicine | 1109 Medical Center Dr, Suite 3, Augusta, GA 30909-6644 | 2005-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513888 | Lauran Simpson | Behavior Technician | 1237 Augusta West Parkway, Augusta, GA 30909 | 2020-09-16 |
| 1487273884 | Still Perspectives Counseling LLC | Counselor | 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 | 2020-04-15 |
| 1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
| 1003452319 | Danny Robinson | Counselor | 2609 Commons Boulevard, Augusta, GA 30909 | 2019-11-21 |
| 1407498637 | Candice M Cruse | Social Worker | 2609 Commons Blvd, Augusta, GA 30909 | 2019-10-09 |
| 1902363385 | Mary D Jodon | Pharmacist | 3338 Wrightsboro Rd., Augusta, GA 30909 | 2019-02-21 |
| 1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
| 1124561766 | Sasha Latara Mccraw | Counselor | 7303 Palomino Court, Augusta, GA 30909 | 2016-11-30 |
| 1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
| 1811358955 | Theodora Mcleskey | Nurse Practitioner | 1215 George C. Wilson Drive, Augusta, GA 30909 | 2016-03-17 |
| Find all providers in zip 30909 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508882432 | Augusta Nephrology and Internal Medicine Associates, PC | Legal Medicine | 818 Saint Sebastian Way Ste 300, Augusta, GA 30901-2653 | 2006-07-14 |
| 1679528731 | Richard Hatch | Legal Medicine | 1021 15th St, Suite 11, Augusta, GA 30901-3180 | 2006-05-24 |
| 1801848304 | Reginald V Brown | Legal Medicine | 2035 Central Ave, Augusta, GA 30904-4178 | 2006-05-16 |
| 1750515672 | Neighborhood Improvement Project Inc. | Legal Medicine | 818 Saint Sebastian Way, Suite 404a, Augusta, GA 30901-2651 | 2009-05-06 |
| 1720224223 | Arun Ranganath | Legal Medicine | 6 E Chestnut St, Augusta, ME 04330-5717 | 2009-01-05 |
| 1942478128 | Augusta Center for Optimal Health | Legal Medicine | 2361 Tobacco Rd, Augusta, GA 30906-9220 | 2008-02-11 |
| 1265503841 | Leslie N Kahn | Legal Medicine | 1109 Medical Center Dr, Suite 1a, Augusta, GA 30909-6633 | 2006-11-13 |
| 1811935414 | Elizabeth C Becton | Legal Medicine | 1303 D'antignac St., Suite 2600, Augusta, GA 30901-2796 | 2006-06-04 |
| 1720031230 | Csra Pediatrics | Legal Medicine | 820 Saint Sebastian Way, Suite 1b, Augusta, GA 30901-2643 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568790061 | Gwinnett Clinic, Ltd | Legal Medicine | 2748 Winder Hwy, Jefferson, GA 30549-8736 | 2009-11-23 |
| 1790939163 | Gwinnett Clinic, Ltd | Legal Medicine | 1383 Atlanta Highway, Auburn, GA 30011 | 2008-11-11 |
| 1932379666 | Medical Centre | Legal Medicine | 1815 Highway 138 Se Ste 800, Conyers, GA 30013-2098 | 2008-03-10 |
| 1215112321 | Tina M. Mason, M.d., L.L.C. | Legal Medicine | 935 River Centre Pl, Suite 200, Lawrenceville, GA 30043-7322 | 2008-01-08 |
| 1639350515 | Leeway Medical Group, PC | Legal Medicine | 1665 Waterway Xing Sw, Atlanta, GA 30331-8060 | 2007-11-19 |
| 1891975470 | Metro Vascular, P.C. | Legal Medicine | 2675 N Decatur Rd Ste 210, Suite 210, Decatur, GA 30033-6132 | 2007-11-12 |
| 1710183454 | South Atlanta Primary Care PC | Legal Medicine | 6568a Tara Blvd, Jonesboro, GA 30236-1228 | 2007-06-21 |
| 1902013709 | Winship Clinic,p.c. | Legal Medicine | 2401 Brookstone Centre Pkwy, Bldg. 200, Columbus, GA 31904-4501 | 2007-05-17 |
| 1801911789 | Ronald Ivan Kaplan | Legal Medicine | 333 Sandy Springs Cir Ne, Suite 200, Atlanta, GA 30328-3897 | 2007-03-20 |
| 1730213547 | Cobb Pulmonary Associates PC | Legal Medicine | 140 Vann St Ne Ste 340, Marietta, GA 30060-7297 | 2007-03-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.