NPIMap

Organization Active NPI

Jack H. Austin, Jr., MD, PC

Doing business as Infectious Disease Consultants

  • Infectious Disease Physician
  • Augusta, GA
National Provider Identifier
1003925223
Registry record updated May 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
JACK H. AUSTIN, JR., MD, PC
Doing business as
Infectious Disease Consultants
Practice address
820 St. Sebastian Way
Suite 4a
Augusta, GA 30901
Phone
(706) 724-4376
Fax
(706) 731-5289
NPI assigned
Aug 30, 2006
Last updated
May 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2009

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

Authorized official

Name
Dr. Jack H Austin Jr., MDNPI 1972612190
Title
MD/Owner
Phone
(706) 724-4376

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X NU Primary

Addresses

Primary practice location

820 St. Sebastian Way
Suite 4a
Augusta, GA 30901

Mailing address

P.O. Box 3429
1125 Troupe Street
Augusta, GA 30914-3429
Phone (706) 737-4575

Other identifiers 2

IdentifierTypeStateIssuer
GPA850MedicaidSC
1972612190OtherNPI - JACK H. AUSTIN

Other names 1

  • Infectious Disease Consultants Doing business as

National Provider Directory

National Provider Directory

Locations

820 Saint Sebastian Way
Ste 4A
Augusta, GA 30901
Phone (706) 724-4376

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241395200000",
    "number": "1003925223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 3429",
            "address_2": "1125 TROUPE STREET",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309143429",
            "telephone_number": "706-737-4575",
            "fax_number": "706-731-5289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 ST. SEBASTIAN WAY",
            "address_2": "SUITE 4A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30901",
            "telephone_number": "706-724-4376",
            "fax_number": "706-731-5289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK H. AUSTIN, JR., MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2009-05-04",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "706-724-4376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GPA850",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - JACK H. AUSTIN",
            "identifier": "1972612190",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Infectious Disease Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 4, 2009; 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.