CSRA PEDIATRICS (NPI# 1720031230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720031230 |
| Entity Type | Organization |
| Organization Name | CSRA PEDIATRICS |
| Practice Address |
820 Saint Sebastian Way Suite 1b Augusta GA 30901-2643 |
| Practice Telephone | 7067247533 |
| Practice Fax Number | 7067241530 |
| Mailing Telephone | 7067247533 |
| Mailing Fax Number | 7067241530 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. ROBYN J MORRIS (MANAGER) |
| Authorized Official Telephone | 7067247533 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 173000000X | Legal Medicine | 054398 | GA | Other Service Providers |
| N | 173000000X | Legal Medicine | 038178 | GA | Other Service Providers |
| Y | 173000000X | Legal Medicine | 052636 | GA | Other Service Providers |
| Street Address |
820 SAINT SEBASTIAN WAY SUITE 1B |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30901-2643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023017829 | Karen Ann Yeh | Specialist | 820 Saint Sebastian Way, Augusta, GA 30901-2643 | 2005-07-14 |
| 1386092559 | Penn Heart LLC | Internal Medicine | 820 Saint Sebastian Way, Ste 2b, Augusta, GA 30901-2643 | 2016-05-29 |
| 1144681651 | Barrington Bagwell | Registered Nurse | 820 Saint Sebastian Way, Ste. # 4c, Augusta, GA 30901-2643 | 2016-03-10 |
| 1538550116 | Kirsten E Sawyer | Physician Assistant | 820 Saint Sebastian Way, Suite 8a, Augusta, GA 30901-2643 | 2015-02-18 |
| 1912330804 | Umg Neurology, LLC | Hospitalist | 820 Saint Sebastian Way, #4-c, Augusta, GA 30901-2643 | 2013-08-14 |
| 1639501505 | Umg Endocrinology LLC | Internal Medicine | 820 Saint Sebastian Way, Ste. # 4-c, Augusta, GA 30901-2643 | 2013-08-02 |
| 1104258359 | Umg Cardiothoracic Surgery LLC | Internal Medicine | 820 Saint Sebastian Way, Ste. 6- B Pob1, Augusta, GA 30901-2643 | 2013-07-30 |
| 1396094744 | John Joseph Wallbillich Iv | Obstetrics & Gynecology | 820 Saint Sebastian Way, Suite 3-a, Augusta, GA 30901-2643 | 2012-08-30 |
| 1811246317 | Benjamin M Gentry | Physician Assistant | 820 Saint Sebastian Way, Suite 8a, Augusta, GA 30901-2643 | 2012-08-30 |
| 1598029423 | Feroze Afzal | Psychiatry & Neurology | 820 Saint Sebastian Way, Suite # 400, Augusta, GA 30901-2643 | 2012-06-26 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 30901 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508882432 | Augusta Nephrology and Internal Medicine Associates, PC | Legal Medicine | 818 Saint Sebastian Way Ste 300, Augusta, GA 30901-2653 | 2006-07-14 |
| 1679528731 | Richard Hatch | Legal Medicine | 1021 15th St, Suite 11, Augusta, GA 30901-3180 | 2006-05-24 |
| 1801848304 | Reginald V Brown | Legal Medicine | 2035 Central Ave, Augusta, GA 30904-4178 | 2006-05-16 |
| 1750515672 | Neighborhood Improvement Project Inc. | Legal Medicine | 818 Saint Sebastian Way, Suite 404a, Augusta, GA 30901-2651 | 2009-05-06 |
| 1720224223 | Arun Ranganath | Legal Medicine | 6 E Chestnut St, Augusta, ME 04330-5717 | 2009-01-05 |
| 1164692786 | Csra Internal Medicine Associates, PC | Legal Medicine | 1109 Medical Center Dr, Suite 1a, Augusta, GA 30909-6633 | 2008-03-11 |
| 1942478128 | Augusta Center for Optimal Health | Legal Medicine | 2361 Tobacco Rd, Augusta, GA 30906-9220 | 2008-02-11 |
| 1265503841 | Leslie N Kahn | Legal Medicine | 1109 Medical Center Dr, Suite 1a, Augusta, GA 30909-6633 | 2006-11-13 |
| 1811935414 | Elizabeth C Becton | Legal Medicine | 1303 D'antignac St., Suite 2600, Augusta, GA 30901-2796 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568790061 | Gwinnett Clinic, Ltd | Legal Medicine | 2748 Winder Hwy, Jefferson, GA 30549-8736 | 2009-11-23 |
| 1790939163 | Gwinnett Clinic, Ltd | Legal Medicine | 1383 Atlanta Highway, Auburn, GA 30011 | 2008-11-11 |
| 1932379666 | Medical Centre | Legal Medicine | 1815 Highway 138 Se Ste 800, Conyers, GA 30013-2098 | 2008-03-10 |
| 1215112321 | Tina M. Mason, M.d., L.L.C. | Legal Medicine | 935 River Centre Pl, Suite 200, Lawrenceville, GA 30043-7322 | 2008-01-08 |
| 1639350515 | Leeway Medical Group, PC | Legal Medicine | 1665 Waterway Xing Sw, Atlanta, GA 30331-8060 | 2007-11-19 |
| 1891975470 | Metro Vascular, P.C. | Legal Medicine | 2675 N Decatur Rd Ste 210, Suite 210, Decatur, GA 30033-6132 | 2007-11-12 |
| 1710183454 | South Atlanta Primary Care PC | Legal Medicine | 6568a Tara Blvd, Jonesboro, GA 30236-1228 | 2007-06-21 |
| 1902013709 | Winship Clinic,p.c. | Legal Medicine | 2401 Brookstone Centre Pkwy, Bldg. 200, Columbus, GA 31904-4501 | 2007-05-17 |
| 1801911789 | Ronald Ivan Kaplan | Legal Medicine | 333 Sandy Springs Cir Ne, Suite 200, Atlanta, GA 30328-3897 | 2007-03-20 |
| 1730213547 | Cobb Pulmonary Associates PC | Legal Medicine | 140 Vann St Ne Ste 340, Marietta, GA 30060-7297 | 2007-03-15 |
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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.