PHILLIP WAYNE JANSEN (NPI# 1407887318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407887318 |
| Entity Type | Individual |
| Full Name | PHILLIP WAYNE JANSEN |
| Credential | D.O. |
| Practice Address |
325 Georgia Ave Ste 200 North Augusta SC 29841 |
| Mailing Address |
Po Box 1705 Augusta GA 30903-1705 |
| Practice Telephone | 8034425750 |
| Practice Fax Number | 8034415751 |
| Mailing Telephone | 7067747263 |
| Mailing Fax Number | 7067747230 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2018-07-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 066956 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1012 Burleyson Rd, Dalton, GA 307208340 | 7065293245 | 7062726077 |
| 325 Georgia Ave Ste 100, North Augusta, SC 298413848 | 8032023351 | 8038198532 |
| 3515 Richland Ave, Aiken, SC 298016311 | 8036422626 | 8036422960 |
| Street Address |
325 GEORGIA AVE STE 200 |
| City | NORTH AUGUSTA |
| State | SC |
| Zip Code | 29841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841620218 | Sallie Jo Rivera | Nurse Practitioner | 325 Georgia Ave Ste 200, North Augusta, SC 29841-3848 | 2013-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184238685 | Essential Health & Wellness | Nurse Practitioner | 616 Edgefield Rd Unit 170, North Augusta, SC 29841 | 2020-09-02 |
| 1316476898 | Tanya Marletta Thompson | Counselor | 125 Thompson Ave, North Augusta, SC 29841 | 2017-06-08 |
| 1427587708 | Lashonda Devona Johnson | Nurse's Aide | 310 Edgefield Road, North Augusta, SC 29841 | 2017-06-08 |
| 1760916092 | Michael Cory Hall | Dentist | 503 W Martintown Road, North Augusta, SC 29841 | 2017-04-13 |
| 1730626508 | Michael Anthony Posada | Nurse Practitioner | 325 Georgia Ave, North Augusta, SC 29841 | 2017-01-31 |
| 1023497054 | High Praise Hair Boutique | Specialist | 139 Edgewood Drive, North Augusta, SC 29841 | 2015-05-22 |
| 1861897159 | Veterans Transportation | Ambulance | 121 E. Marion Ave., North Augusta, SC 29841 | 2014-10-29 |
| 1700216173 | Brooke Elizabeth Farmer | Licensed Practical Nurse | 2218 Vireo Drive, North Augusta, SC 29841 | 2013-11-20 |
| 1912344953 | Pamelia C Hiott | Registered Nurse | 2000 Knobcone Avenue, North Augusta, SC 29841 | 2013-05-31 |
| 1275798936 | Doctors Hospital North Augusta Imaging Center LLC | Clinic/Center | 105 Hugh Street, Suite A, North Augusta, SC 29841 | 2008-07-22 |
| Find all providers in zip 29841 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740398544 | William A Rivell | Family Medicine | 1520 Knox Ave, North Augusta, SC 29841-4010 | 2006-08-29 |
| 1902912157 | Mark Orgel | Family Medicine | 107 Walnut Ln Ste 101, North Augusta, SC 29860-8629 | 2006-08-21 |
| 1659307593 | John R Velky | Family Medicine | 309 West Ave, North Augusta, SC 29841-3800 | 2006-06-23 |
| 1710921689 | David M Jester | Family Medicine | 105 East Hugh Street, North Augusta, SC 29841 | 2006-06-15 |
| 1053351999 | Jerry A Lambert | Family Medicine | 105 East Hugh St, North Augusta, SC 29841-2925 | 2006-06-08 |
| 1700844933 | Wayne R Yost | Family Medicine | 509 W Martintown Rd, North Augusta, SC 29841-3108 | 2006-05-04 |
| 1558334144 | Jimmy Hewitt II | Family Medicine | 105 E Hugh St, North Augusta, SC 29841-2925 | 2006-02-13 |
| 1902886724 | Erich Rolland Heinz | Family Medicine | 325 Georgia Ave Ste 100, North Augusta, SC 29841-3848 | 2006-01-18 |
| 1992799563 | Jeffrey N Broder | Family Medicine | 1201 West Ave, North Augusta, SC 29841-3350 | 2005-09-09 |
| 1396286878 | J. William Thurmond IIi, Md LLC | Family Medicine | 509 W Martintown Rd, North Augusta, SC 29841 | 2017-03-16 |
| Find all providers in NORTH AUGUSTA | ||||
| City | NORTH AUGUSTA |
| Zip Code | 29841 |
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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.