Active NPI
Juan L Colon-Santini, M.D.
- Pediatrics Physician
- Augusta, GA
National Provider Identifier
1033186358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 033056
- Practice address
- 3675 J Dewey Gray Circle
Suite 300
Augusta, GA 30909-1868 - Phone
- (706) 863-9595
- Fax
- (888) 745-3917
- NPI assigned
- Mar 6, 2006
- Last updated
- Mar 23, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 033056 | GA | Primary |
Addresses
Primary practice location
3675 J Dewey Gray Circle
Suite 300
Augusta, GA 30909-1868
Mailing address
PO Box 3726
Augusta, GA 30914-3726
Phone (706) 863-9595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033056 | GA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616457600000",
"number": "1033186358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3726",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309143726",
"telephone_number": "706-863-9595",
"fax_number": "888-745-3917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3675 J DEWEY GRAY CIRCLE",
"address_2": "SUITE 300",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309091868",
"telephone_number": "706-863-9595",
"fax_number": "888-745-3917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLON-SANTINI",
"first_name": "JUAN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-06",
"last_updated": "2021-03-23",
"certification_date": "2021-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "033056",
"primary": true
}
],
"identifiers": [],
"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 Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.