Active NPI
Jose A Santiago, MD
- Neurological Surgery Physician
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 056393
- Practice address
- 1 Freedom Way
VA Medical Center, Neurosurgery
Augusta, GA 30904-6258 - Phone
- (706) 733-0188
- Fax
- (706) 823-1751
- NPI assigned
- Apr 19, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 056393 | GA | Primary |
| Neurological Surgery Physician | 207T00000X | 18840 | SC | |
| Neurological Surgery Physician | 207T00000X | G5572 | TX | |
| Neurological Surgery Physician | 207T00000X | MD425822 | PA |
Addresses
Primary practice location
1 Freedom Way
VA Medical Center, Neurosurgery
Augusta, GA 30904-6258
Mailing address
1 Freedom Way
VA Medical Center, Neurosurgery
Augusta, GA 30904-6258
Phone (706) 733-0188
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T26120 | Medicaid | SC |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD425822 | PA | MD | Neurological Surgery Physician |
| G5572 | TX | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Au Medical Associates Inc | Current | Accepting new patients | |
| Au Medical Associates Inc | Current | Accepting new patients |
Locations
1499 Walton Way
Ste 1400
Augusta, GA 30901
Phone (706) 721-4951
1120 15th St
Augusta, GA 30912
Phone (706) 721-3873
302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940
410 University Pkwy
Ste 2360
Aiken, SC 29801
Phone (803) 642-6500
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.
-
- Multi-Specialty Clinic/Center
- Augusta, GA
- NPI 1841230620
-
dba Augusta University Health West Wheeler
- Durable Medical Equipment & Medical Supplies
- Augusta, GA
- NPI 1114574126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184112000000",
"number": "1083679252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FREEDOM WAY",
"address_2": "VA MEDICAL CENTER, NEUROSURGERY",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309046258",
"telephone_number": "706-733-0188",
"fax_number": "706-823-1751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 FREEDOM WAY",
"address_2": "VA MEDICAL CENTER, NEUROSURGERY",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309046258",
"telephone_number": "706-733-0188",
"fax_number": "706-823-1751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO",
"first_name": "JOSE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2007-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "GA",
"license": "056393",
"primary": true
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "SC",
"license": "18840",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "TX",
"license": "G5572",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "PA",
"license": "MD425822",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "T26120",
"state": "SC"
}
],
"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 Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.