Individual provider Active NPI

Monique Howard Lentz, MD

  • Psychiatry Physician
  • Augusta, GA
National Provider Identifier
1033145925
Registry record updated Feb 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
043686 Issued in GA
Practice address
3633 Wheeler Rd
Suite 110
Augusta, GA 30909-6544
Phone
(706) 855-7784
Fax
(706) 650-1090
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2019

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 043686 GA Primary

Addresses

Primary practice location

3633 Wheeler Rd
Suite 110
Augusta, GA 30909-6544

Mailing address

3633 Wheeler Rd
Suite 110
Augusta, GA 30909-6549
Phone (706) 855-7784

Other identifiers 1

IdentifierTypeStateIssuer
00904098AMedicaidGA

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
I20080702000288 GA Practitioner - Psychiatry 3870665110 Practice locations: Augusta, GA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Medical College of Georgia School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3633 Wheeler Rd
Suite 110
Augusta, GA 30909-6544

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
043686GAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550102400000",
    "number": "1033145925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 WHEELER RD",
            "address_2": "SUITE 110",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096549",
            "telephone_number": "706-855-7784",
            "fax_number": "706-650-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 WHEELER RD",
            "address_2": "SUITE 110",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096544",
            "telephone_number": "706-855-7784",
            "fax_number": "706-650-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENTZ",
        "first_name": "MONIQUE",
        "middle_name": "HOWARD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2019-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "043686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00904098A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.