GEORGIA REGENTS UNIVERSITY (NPI# 1386065258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386065258 |
| Entity Type | Organization |
| Organization Name | GEORGIA REGENTS UNIVERSITY |
| Practice Address |
1120 15th St Pavilion II, Af 1040 Augusta GA 30912-0004 |
| Practice Telephone | 7067234302 |
| Mailing Telephone | 7067234302 |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2013-12-20 |
| Authorized Official Name | DR. CHAD ALLEN ASPLUND (MEDICAL DIRECTOR STUDENT HEALTH) |
| Authorized Official Telephone | 7067234302 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 58438 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255719621 | Georgia Regents University | Public Health or Welfare | 3259 Val Tech Rd, Valdosta, GA 31602-9309 | 2015-05-18 |
| Street Address |
1120 15TH ST PAVILION II, AF 1040 |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30912-0004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051556 | Gyanendra Kumar Sharma | Internal Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2005-05-23 |
| 1912508532 | Lacey Nichol Preston | Physician Assistant | 1120 15th St, Augusta, GA 30912-0004 | 2020-11-02 |
| 1992302988 | Victoria Mae Pregibon | Physician Assistant | 1120 15th St, Augusta, GA 30912-0004 | 2020-10-03 |
| 1275130239 | Tanya Renee Hall | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2020-10-02 |
| 1144847864 | Cassandra Marie Voong | Internal Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-29 |
| 1245857002 | Morgan Rowe | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-28 |
| 1639795990 | Lauren Christine Bush | Audiologist | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-23 |
| 1811513575 | Ashley Danielle Fox | Internal Medicine | 1120 15th St, Augusta, GA 30912-0006 | 2020-06-18 |
| 1265058994 | Matthew Craddock | Psychiatry & Neurology | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-18 |
| 1437775301 | Joseph John Arellano | Emergency Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885940 | Hannah Gullickson Folsom | Family Medicine | 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 | 2020-06-11 |
| 1487278909 | Robert Kennedy | Internal Medicine | Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 | 2020-06-01 |
| 1952968737 | Kayla M. Lasota | Pediatrics | 11230 115th St Ae3042, Augusta, GA 30912 | 2019-05-28 |
| 1003379280 | Kayla Cox | Internal Medicine | 1120 15th St Bi5070, Augusta, GA 30912 | 2019-04-13 |
| 1619435740 | Justin Ray Mackert | Student in an Organized Health Care Education/Training Program | Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 | 2019-03-07 |
| 1417444167 | Victor Celis | Dentist | John Wesley Gilbert Dr, Augusta, GA 30912 | 2018-04-18 |
| 1487157921 | Julie Ann Matsen | Student in an Organized Health Care Education/Training Program | 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 | 2018-03-12 |
| 1497287031 | Luke Yuung-jier Chang | Ophthalmology | 1120 15th St # Ba2720, Augusta, GA 30912 | 2017-04-02 |
| 1821537622 | Lashawn Kay Boone | Nurse Practitioner | 1445 Harper St, Augusta, GA 30912 | 2017-02-14 |
| 1134675564 | Arnab Saha | Internal Medicine | 1120 15 Th St., Augusta, GA 30912 | 2016-08-26 |
| Find all providers in zip 30912 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548693195 | Alexandra Michelle Fowler | General Practice | 2151 Kings Way, Augusta, GA 30904-4473 | 2013-08-19 |
| 1427493907 | Philip Ronald Veazey | General Practice | 3142 Edinburgh Dr, Augusta, GA 30909-3316 | 2013-05-09 |
| 1124287875 | Deirdre Christenberry | General Practice | 2923 Carey Ct, Augusta, GA 30909-6125 | 2008-06-07 |
| 1396720181 | Achhinder Kumar Ohri | General Practice | 2100 Central Avenue, Suite 3, Augusta, GA 30904-6709 | 2005-12-14 |
| 1427439629 | Tony Locrotondo | General Practice | 1120 15th St, Augusta, GA 30912 | 2015-06-12 |
| 1619209905 | Augusta Medical Care LLC | General Practice | 3642 Wheeler Rd, Augusta, GA 30909-6519 | 2010-02-11 |
| 1689860355 | Abebe D Kassahun | General Practice | 2100 Central Ave, Suite 6 & 7, Augusta, GA 30904-6717 | 2007-09-17 |
| 1376746545 | Andrew Moultrie | General Practice | 2047 Central Ave, Augusta, GA 30904-4178 | 2007-06-06 |
| 1760565345 | Mary Barnett Laughlin | General Practice | 1 Va Center, Augusta Va, Augusta, ME 04330 | 2006-10-24 |
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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.