Individual provider Active NPI

Nohl Arthur Braun Jr., M.D.

  • Psychiatry Physician
  • Charleston, WV
National Provider Identifier
1013933340
Registry record updated Dec 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
18066 Issued in WV
Practice address
1418 Maccorkle Ave SW
Charleston, WV 25303-1331
Phone
(304) 348-1288
Fax
(304) 348-1262
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 18066 WV Primary

Addresses

Primary practice location

1418 Maccorkle Ave SW
Charleston, WV 25303-1331

Mailing address

1418 Maccorkle Ave SW
Charleston, WV 25303-1331
Phone (304) 348-1288

Other identifiers 1

IdentifierTypeStateIssuer
0016380000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170725002469 GA Practitioner - Psychiatry 1456241355 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
JC Edwards School of Medicine, Marshall University, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SGMP Southland, LLCGroup PAC ID 1153563770, 28 clinicians

Practice addresses (Care Compare)

1150 Cornell Ave
Savannah, GA 31406-2702
Phone (229) 236-0831

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Department of Behavioral Health & Developmental Disabilities, Ga CurrentSince Jul 1, 2019 Accepting new patients
Department of Behavioral Health & Developmental Disabilities CurrentSince Jul 1, 2019 Accepting new patients
SGMP Southland LLC Psychiatry CurrentSince Jul 1, 2019 Accepting new patients
Choice Family Medicine, PC Current Accepting new patients
Uhs of Savannah LLC Current Accepting new patients
Department of Behavioral Health and Developmental Disabilities Current Accepting new patients
Uhs of Savannah, LLC CurrentSince Apr 15, 2017 Accepting new patients
Highland Hospital Association Past Accepting new patients
MBH Highland, LLC Psychiatry Past Accepting new patients
Uhs of Savannah LLC Past Accepting new patients
Sugar Grove MBH-Ga, LLC Past Accepting new patients
New River Health Association, Inc. Past Accepting new patients
Highland Behavioral Health Services Inc Past Accepting new patients

Locations

3405 Old Savannah Rd
Augusta, GA 30906
Phone (705) 790-2030

1915 Eisenhower Dr
Savannah, GA 31406
Phone (912) 356-2011

633 Stephenson Ave
Savannah, GA 31405
Phone (912) 351-3590

1150 Cornell Ave
Savannah, GA 31406
Phone (912) 354-3911

201 Woodrow Wilson Dr
Valdosta, GA 31602
Phone (229) 241-0041

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451260800000",
    "number": "1013933340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 MACCORKLE AVE SW",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253031331",
            "telephone_number": "304-348-1288",
            "fax_number": "304-348-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 MACCORKLE AVE SW",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253031331",
            "telephone_number": "304-348-1288",
            "fax_number": "304-348-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUN",
        "first_name": "NOHL",
        "middle_name": "ARTHUR",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2015-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WV",
            "license": "18066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016380000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.