NITI BHALLA CARLSON MD PC (NPI# 1346688058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346688058 |
| Entity Type | Organization |
| Organization Name | NITI BHALLA CARLSON MD PC |
| Practice Address |
2258 Wrightsboro Rd Suite 200 Augusta GA 30904-4887 |
| Practice Telephone | 7067362273 |
| Practice Fax Number | 7067367171 |
| Mailing Telephone | 7067362273 |
| Mailing Fax Number | 7067367171 |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2013-06-11 |
| Authorized Official Name | DR. NITI BHALLA CARLSON (PRESIDENT) |
| Authorized Official Telephone | 7067362273 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
045052 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
2258 WRIGHTSBORO RD SUITE 200 |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904-4887 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891793253 | Asa Daniel Duggan Jr. | Surgery | 2258 Wrightsboro Rd, Augusta, GA 30904-4887 | 2005-07-11 |
| 1396219390 | Rosetta Ann Derrick | Nurse Practitioner | 2258 Wrightsboro Rd, Augusta, GA 30904-4887 | 2019-01-14 |
| 1144690033 | Riverside Anesthesia | Nurse Anesthetist, Certified Registered | 2258 Wrightsboro Rd, Augusta, GA 30904-4887 | 2015-10-05 |
| 1366811036 | Melonie Taylor Mcbride | Physical Therapist | 2258 Wrightsboro Rd, Suite 250, Augusta, GA 30904-4887 | 2015-09-23 |
| 1811365596 | Maguire Therapy Services | Massage Therapist | 2258 Wrightsboro Rd, Augusta, GA 30904-4887 | 2015-09-11 |
| 1881060879 | Giovanna Mustin | Occupational Therapy Assistant | 2258 Wrightsboro Rd, Augusta, GA 30904-4887 | 2015-08-13 |
| 1578948782 | Maguire Therapy Services,inc. | Occupational Therapy Assistant | 2258 Wrightsboro Rd, Suite 250, Augusta, GA 30904-4887 | 2015-07-29 |
| 1679960561 | Christina Samar Khal | Occupational Therapist | 2258 Wrightsboro Rd, Suite 250, Augusta, GA 30904-4887 | 2015-04-20 |
| 1710249966 | Gary Williamson, M.d., P.C. | Plastic Surgery | 2258 Wrightsboro Rd, Suite 180, Augusta, GA 30904-4887 | 2012-06-13 |
| 1093007890 | Bie Mende Etinge | Internal Medicine | 2258 Wrightsboro Rd, Suite 300, Augusta, GA 30904-4788 | 2011-05-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
| 1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
| 1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
| 1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
| 1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
| 1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
| 1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
| 1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
| 1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
| 1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
| Find all providers in zip 30904 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346471356 | William Morgan Mccranie | Obstetrics & Gynecology | 1035 River Ridge Dr, Augusta, GA 30909-2211 | 2009-08-07 |
| 1477191765 | Rebecca Louise Mecredy | Obstetrics & Gynecology | 1126 Medical Center Dr, Augusta, GA 30909-1810 | 2019-12-17 |
| 1427586023 | Urgent Md Healthcare Services, P.C. | Obstetrics & Gynecology | 3686 Wheeler Rd, Augusta, GA 30909-6520 | 2017-05-25 |
| 1942567482 | Devin Tatcher Miller | Obstetrics & Gynecology | 1120 15th St, Augusta, GA 30912-2374 | 2012-04-23 |
| 1831241660 | Summerville Women's Medical Group | Obstetrics & Gynecology | 2300 Wrightsboro Rd, Augusta, GA 30904-6220 | 2007-01-18 |
| 1568547586 | Augusta Physician Services LLC | Obstetrics & Gynecology | 2258 Wrightsboro Rd, Suite 300, Augusta, GA 30904-4887 | 2006-10-26 |
| 1922191626 | Oscar E Talledo | Obstetrics & Gynecology | 1120 15th Street, Augusta, GA 30912 | 2006-10-02 |
| 1275573156 | Renee T Page | Obstetrics & Gynecology | 1120 15th St, Augusta, GA 30912-0004 | 2006-06-07 |
| 1952392425 | Alva H Faulkner | Obstetrics & Gynecology | 2258 Wrightsboro Rd, Suite 300, Augusta, GA 30904-4887 | 2005-11-02 |
| 1003802117 | John Henry Oliver | Obstetrics & Gynecology | 2300 Wrightsboro Rd, Augusta, GA 30904-6220 | 2005-09-23 |
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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.