AUGUSTA GYN, OBSTETRICS & GYNECOLOGY 2 LLC (NPI# 1629108329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629108329 |
| Entity Type | Organization |
| Organization Name | AUGUSTA GYN, OBSTETRICS & GYNECOLOGY 2 LLC |
| Practice Address |
1348 Walton Way Suite 4100 Augusta GA 30901-5104 |
| Mailing Address |
Po Box 468329 Atlanta GA 31146-8329 |
| Practice Telephone | 4049430205 |
| Mailing Telephone | 4049430205 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ALICIA HOLDEN (LEAD) |
| Authorized Official Telephone | 4049430205 |
| Authorized Official Credential | ACCOUNTING |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Street Address |
1348 WALTON WAY SUITE 4100 |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30901-5104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417949066 | Janet Elaine Davis | Obstetrics & Gynecology | 1348 Walton Way, Suite 4300, Augusta, GA 30901-5104 | 2005-08-19 |
| 1144760919 | Nuriye Sarpkaya | Nurse Practitioner | 1348 Walton Way, Suite 5100, Augusta, GA 30901-5104 | 2017-02-27 |
| 1255701389 | Lauren Elizabeth Wilson | Physician Assistant | 1348 Walton Way, Suite 5100, Augusta, GA 30901-5104 | 2015-10-01 |
| 1144565920 | Emily B Hutchins | Physician Assistant | 1348 Walton Way, Suite 4500, Augusta, GA 30901-5104 | 2012-12-04 |
| 1811138506 | Janet E. Davis, M.d., P.C. | Obstetrics & Gynecology | 1348 Walton Way, Suite 4300, Augusta, GA 30901-5104 | 2009-03-10 |
| 1992946644 | Debra J. Ware, Md, PC | Obstetrics & Gynecology | 1348 Walton Way, Suite 5500, Augusta, GA 30901-5104 | 2009-03-10 |
| 1275778805 | Mitchell Clark Palmer | Physician Assistant | 1348 Walton Way, Suite 5700, Augusta, GA 30901-5104 | 2008-12-11 |
| 1740457373 | Christopher Boyd Looney | Radiology | 1348 Walton Way, Ste. # 5700, Augusta, GA 30901-5104 | 2008-05-13 |
| 1063576288 | Charles Gettys Mcclure | Psychiatry & Neurology | 1348 Walton Way, Suite 4500, Augusta, GA 30901-5104 | 2006-12-21 |
| 1477613917 | Michael A Watts | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1348 Walton Way, Suite 5700, Augusta, GA 30901-5110 | 2006-12-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477019925 | Courtney Erin Fairchild | Physician Assistant | 1101 15th Street, Pa-224, Augusta, GA 30901 | 2019-02-20 |
| 1699263921 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1022 Walton Way Spc C, Augusta, GA 30901 | 2018-04-23 |
| 1235684192 | Heather Raborn | Allergy & Immunology | 1350 Walton Way Ste 5100, Augusta, GA 30901 | 2016-08-22 |
| 1457690745 | Rehab Without Walls, Inc. | In Home Supportive Care | 820 St Sebastin Way Se, Augusta, GA 30901 | 2013-02-06 |
| 1861788051 | Christina Weidner Belcher | Physical Therapist | 1246 Pine St, Augusta, GA 30901 | 2011-06-25 |
| 1750695979 | C H Martin Company | Durable Medical Equipment & Medical Supplies | 1456 Walton Way Suite B, Augusta, GA 30901 | 2010-07-29 |
| 1366773905 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4027 Wheeler Rd, Augusta, GA 30901 | 2010-01-21 |
| 1851622484 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1715 Forest Drive, Augusta, GA 30901 | 2010-01-21 |
| 1760615280 | Absolute Family PCh | Point of Service | 2035 Old Savannah Rd., Augusta, GA 30901 | 2009-09-01 |
| 1073740643 | Ryan J Altenburg | Internal Medicine | 820 Saint Sebastian Way Ste 8a, Augusta, GA 30901 | 2009-06-22 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639794001 | Stephanie Stokes | Obstetrics & Gynecology | 1120 15th St Ste Ba-7300, Augusta, GA 30912-0004 | 2020-06-11 |
| 1346865839 | Teodora Stoikov | Obstetrics & Gynecology | 1120 15th St # Ba-7411, Augusta, GA 30912-0004 | 2020-06-10 |
| 1528627650 | Suellen Anizia Romero De Mello Sa | Obstetrics & Gynecology | 1120 15th St # Ba-7310, Augusta, GA 30912-0004 | 2019-06-12 |
| 1457910069 | Taylor Mitchell Jones | Obstetrics & Gynecology | 1120 15th St # Ba-7300, Augusta, GA 30912-3300 | 2019-06-07 |
| 1871156687 | Alexandra Poch | Obstetrics & Gynecology | 1120 15th St # Ba7300, Augusta, GA 30912-0004 | 2019-04-17 |
| 1568826493 | Susan Angeline Davis | Obstetrics & Gynecology | 2813 Hillcrest Ave, Augusta, GA 30909-3815 | 2016-04-06 |
| 1831553924 | Connor Jordan Biskamp | Obstetrics & Gynecology | Augusta University 1120 15th Street, Augusta, GA 30912-3901 | 2016-04-05 |
| 1922319094 | Obstetrics and Gynecology Services of Augusta PC | Obstetrics & Gynecology | 1500 Johns Road, Suite 3, Augusta, GA 30904-4808 | 2010-06-23 |
| 1962630830 | Linda Marie Street | Obstetrics & Gynecology | 3624 J Dewey Gray Cir Ste 308, Augusta, GA 30909-6580 | 2009-06-30 |
| 1689811036 | Peter Payne | Obstetrics & Gynecology | 2812 Walton Way, Augusta, GA 30909-3826 | 2009-01-07 |
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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.