Individual provider Active NPI

Edouard Jean Servy, MD

  • Obstetrics & Gynecology Physician
  • Augusta, GA
National Provider Identifier
1043208226
Registry record updated Aug 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
O16755 Issued in GA
Practice address
812 Chafee Ave
Augusta, GA 30904-5806
Phone
(706) 724-0228
Fax
(706) 722-2387
NPI assigned
Oct 11, 2005
Last updated
Aug 6, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X O16755 GA Primary

Addresses

Primary practice location

812 Chafee Ave
Augusta, GA 30904-5806

Mailing address

812 Chafee Ave
Augusta, GA 30904-5806
Phone (706) 724-0228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 25, 2016 through Apr 25, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
O16755GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edouard J Servy MD PC Obstetrics & Gynecology Current Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

812 Chafee Ave
Augusta, GA 30904
Phone (706) 724-0028

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281052800000",
    "number": "1043208226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 CHAFEE AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309045806",
            "telephone_number": "706-724-0228",
            "fax_number": "706-722-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 CHAFEE AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309045806",
            "telephone_number": "706-724-0228",
            "fax_number": "706-722-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERVY",
        "first_name": "EDOUARD",
        "middle_name": "JEAN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2010-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "O16755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.