ADVANCED GYNECOLOGY SPECIALISTS OF AUGUSTA (NPI# 1619110574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619110574 |
| Entity Type | Organization |
| Organization Name | ADVANCED GYNECOLOGY SPECIALISTS OF AUGUSTA |
| Practice Address |
7013 Evans Town Center Blvd Suite 101 Evans GA 30809-5117 |
| Practice Telephone | 7069224545 |
| Mailing Telephone | 7069224545 |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2009-04-08 |
| Authorized Official Name | DR. PAUL M THAXTON (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7069224545 |
| 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 |
16291 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
7013 EVANS TOWN CENTER BLVD SUITE 101 |
| City | EVANS |
| State | GA |
| Zip Code | 30809-5117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679528442 | Paul M Thaxton | Obstetrics & Gynecology | 7013 Evans Town Center Blvd, Suite 101, Evans, GA 30809-5117 | 2006-05-23 |
| 1295057867 | Women's Massage Center | Mechanotherapist | 7013 Evans Town Center Blvd, Suite 104, Evans, GA 30809-5117 | 2010-02-23 |
| 1750512471 | Georgia Therapeutic Massage LLC | Mechanotherapist | 7013 Evans Town Center Blvd, Suite 201, Evans, GA 30809-5117 | 2009-07-29 |
| 1346459674 | Loys M Hanson | Speech-Language Pathologist | 7013 Evans Town Center Blvd, Suite 201, Evans, GA 30809 | 2007-05-22 |
| 1366582298 | Kristy Kertscher | Physical Therapist | 7013 Evans Town Center Blvd, Suite 201, Evans, GA 30809-5130 | 2007-02-08 |
| 1588739056 | Nina Grandin | Occupational Therapist | 7013 Evans Town Center Blvd, Suite 201, Evans, GA 30809-5130 | 2006-11-21 |
| 1841233244 | Kristi Hasten | Occupational Therapist | 7013 Evans Town Center Blvd, Suite 201, Evans, GA 30809-5130 | 2006-06-14 |
| 1093752792 | William R Collins | Physical Therapist | 7013 Evans Town Center Blvd, Suite 201, Evans, GA 30809-5130 | 2006-06-01 |
| 1831136514 | Teresa K Parton | Physical Therapist | 7013 Evans Town Center Blvd, Suite 201, Evans, GA 30809-5130 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326674060 | Dominion Behavioral Health Services LLC | Psychiatric Unit | 817 Prairie Lane, Evans, GEORGIA 30809 | 2020-03-13 |
| 1710478102 | Georgia Dental Professionals, PC | Dentist | 5131 Washington Rd, Evans, GA 30809 | 2018-05-22 |
| 1649770678 | Angel Legare | Physician Assistant | 404 Town Park Blvd Ste 101, Evans, GA 30809 | 2018-02-16 |
| 1952829541 | Felicia Evette Rhodes | Home Health Aide | 715 Jones Creek, Evans, GA 30809 | 2017-09-02 |
| 1659733582 | Patricia J. Stewart Lpc, LLC | Counselor | 465 N. Belair Rd. Ste 2d, Evans, GA 30809 | 2016-03-21 |
| 1114306727 | John Mccaskey | Family Medicine | 465 N Belair Rd Ste 1b, Evans, GA 30809 | 2015-05-28 |
| 1053702878 | Jennifer Wahl | Assistant Behavior Analyst | 1135 Waltons Pass, Evans, GA 30809 | 2015-02-16 |
| 1609298777 | Custom Pharmacy, Inc | Pharmacy | 1202 Town Park Lane, Suite 200, Evans, GA 30809 | 2014-01-09 |
| 1457797938 | Perfect Health Always On Call, LLC | Non-Pharmacy Dispensing Site | 4244 Washington Rd, Evans, GA 30809 | 2013-05-11 |
| 1417207119 | Tommy Battle | Respiratory Therapist, Registered | 101 Pond View, Evans, GA 30809 | 2012-09-11 |
| Find all providers in zip 30809 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972599363 | Niti Bhalla Carlson | Obstetrics & Gynecology | 465 N Belair Rd Ste 2e, Evans, GA 30809-3190 | 2005-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558998070 | Gynecology Associates of Georgia | Obstetrics & Gynecology | 101 St Josephs Candler Dr Ste 300, Pooler, GA 31322-9588 | 2020-03-25 |
| 1295360949 | Premier Women's Gyn, LLC | Obstetrics & Gynecology | 101 Yorktown Dr Ste 224, Fayetteville, GA 30214-1578 | 2020-03-03 |
| 1073074175 | Mobile Md, LLC | Obstetrics & Gynecology | 746 Royal Springs Ln, Grovetown, GA 30813-4534 | 2019-03-29 |
| 1528565785 | Schilling Cosmetic Surgery & Aesthetics, LLC | Obstetrics & Gynecology | 1757 Rock Quarry Rd Ste A, Stockbridge, GA 30281-7303 | 2018-04-12 |
| 1356870547 | Her Wellness Center, LLC | Obstetrics & Gynecology | 1763 Highway 196 W, Hinesville, GA 31313-8013 | 2017-06-09 |
| 1245769777 | Better Health Better Life LLC | Obstetrics & Gynecology | 2398 Mount Vernon Rd Ste 150, Dunwoody, GA 30338-3064 | 2017-06-08 |
| 1699115451 | Jeffrey Alan Bernstein | Obstetrics & Gynecology | 655 Widgeon Lane, Atlanta, GA 30327 | 2013-06-26 |
| 1376899179 | Earl Edwin Sands | Obstetrics & Gynecology | 2200 Blackheath Trce, Alpharetta, GA 30005-6978 | 2012-07-30 |
| 1063788784 | Joseph Rudolph Prine Sr. | Obstetrics & Gynecology | 1216 Chennault Dr, Dublin, GA 31021-3006 | 2012-03-27 |
| 1871865113 | Candace Marvenia Tillman | Obstetrics & Gynecology | 477 Windsor St. Sw, Ste. 309, Atlanta, GA 30312 | 2012-02-02 |
| Find all providers with the same taxonomy | ||||
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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.