AUGUSTA FAMILY MEDICAL SERVICE (NPI# 1619279544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619279544 |
| Entity Type | Organization |
| Organization Name | AUGUSTA FAMILY MEDICAL SERVICE |
| Practice Address |
1500 Johns Rd Suite # 2 Augusta GA 30904-4888 |
| Practice Telephone | 7067363688 |
| Practice Fax Number | 7067363628 |
| Mailing Telephone | 7067363688 |
| Mailing Fax Number | 7067363628 |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2010-11-29 |
| Authorized Official Name | DR. ABEBE KASSAHUN (OWNER) |
| Authorized Official Telephone | 7067363688 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 063248 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
1500 JOHNS RD SUITE # 2 |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904-4888 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821079021 | Joseph Waldo Griffin Jr. | Internal Medicine | 1500 Johns Rd, Suite 5, Augusta, GA 30904-4888 | 2005-11-07 |
| 1386977031 | Magalie Pierre | Obstetrics & Gynecology | 1500 Johns Rd, Suite 3, Augusta, GA 30904-4888 | 2009-09-14 |
| 1538385679 | Augusta Gastroenterology Associates Inc | Specialist | 1500 Johns Rd, Suite 5, Augusta, GA 30904-4888 | 2007-04-17 |
| 1831240316 | Bryn G Hamilton | Dietitian, Registered | 1500 Johns Rd, Suite 3, Augusta, GA 30904-4888 | 2007-01-13 |
| 1144276999 | Frederick F Marschalk | Internal Medicine | 1500 Johns Rd, Ste 5, Augusta, GA 30904-4888 | 2006-05-25 |
| 1457335549 | Benjamin F Towe | Family Medicine | 1500 Johns Rd, Ste 5, Augusta, GA 30904-4888 | 2005-12-01 |
| 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 | 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 |
|---|---|---|---|---|
| 1649889874 | Kateri Jeffery | Family Medicine | 12 Shuman Ave Ste 3, Augusta, ME 04330-6020 | 2020-07-23 |
| 1548885783 | Candace Clinton | Family Medicine | 1120 15th St # Hb4000, Augusta, GA 30912-0004 | 2020-06-13 |
| 1750906012 | Nand Vinod Patel | Family Medicine | 3039 Washington Rd, Augusta, GA 30907-3829 | 2020-06-12 |
| 1114542396 | Lauren C Robinson | Family Medicine | 1120 15th St # Hb3000e, Augusta, GA 30912-0004 | 2020-06-12 |
| 1831714211 | Soren Knudsen Estvold | Family Medicine | 1120 15th St # Hb-4000, Augusta, GA 30912-0004 | 2020-06-11 |
| 1548885940 | Hannah Gullickson Folsom | Family Medicine | 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 | 2020-06-11 |
| 1942793005 | Rebecca Tate Jones | Family Medicine | 1120 15th St Augusta Ga 30912, Augusta, GA 30912-0001 | 2018-06-12 |
| 1811480411 | Sonya Janice Chelliah | Family Medicine | 1120 15th St # Hb3020, Augusta, GA 30912-0004 | 2018-06-08 |
| 1447741269 | Akua E Asiamah | Family Medicine | 1120 15th St Augusta University, Augusta, GA 30912-0001 | 2018-05-29 |
| 1457766800 | Susan B. Allen Memorial Hospital | Family Medicine | 401 W 7th Ave, Augusta, KS 67010-1309 | 2014-06-24 |
| Find all providers in AUGUSTA | ||||
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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.