Organization Active NPI

A. Reginald Pilcher, MD, PC

  • Pediatrics Physician
  • Augusta, GA
National Provider Identifier
1003094848
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
017238 Issued in GA
Legal business name
A. REGINALD PILCHER, MD, PC
Practice address
1115B Garredd Blvd
Augusta, GA 30909-6674
Phone
(706) 854-9416
Fax
(706) 863-8523
NPI assigned
Feb 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
A Reginald Pilcher, MD
Title
Owner
Phone
(706) 854-9416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 017238 GA Primary

Addresses

Primary practice location

1115B Garredd Blvd
Augusta, GA 30909-6674

Mailing address

1115B Garredd Blvd
Augusta, GA 30909-6674
Phone (706) 854-9416

Other identifiers 1

IdentifierTypeStateIssuer
GPA688MedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
A Reginald Pilcher MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1115 Garredd Blvd
Ste B
Augusta, GA 30909
Phone (706) 854-9416

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1003094848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115B GARREDD BLVD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096674",
            "telephone_number": "706-854-9416",
            "fax_number": "706-863-8523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115B GARREDD BLVD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096674",
            "telephone_number": "706-854-9416",
            "fax_number": "706-863-8523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A. REGINALD PILCHER, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "PILCHER",
        "authorized_official_first_name": "A",
        "authorized_official_middle_name": "REGINALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-854-9416",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "017238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GPA688",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.