Individual provider Active NPI

Mariam Barseghyan

  • Reproductive Endocrinology Physician
  • Augusta, GA
National Provider Identifier
1063941276
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
RTP-15988 Issued in GA
Practice address
1120 15TH St # Bb7514
Augusta, GA 30912-2206
Phone
(706) 721-3832
NPI assigned
Jun 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X RTP-15988 GA Primary

Addresses

Primary practice location

1120 15TH St # Bb7514
Augusta, GA 30912-2206

Mailing address

14217 Valerio St
Van Nuys, CA 91405-1452

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
I20240722004159 GA Order and Referring Only - Obstetrics/GynecologyPractitioner - Obstetrics/Gynecology 5698211035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RTP-15988GAMDReproductive Endocrinology Physician

Interoperability endpoints

  • Direct secure messaging: mbarseghyan2075779@direct.trinity-health.org

NPI Registry JSON

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1063941276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14217 VALERIO ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914051452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 15TH ST # BB7514",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309122206",
            "telephone_number": "706-721-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARSEGHYAN",
        "first_name": "MARIAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-09",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "GA",
            "license": "RTP-15988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.