Southern Family Medical Center PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SOUTHERN FAMILY MEDICAL CENTER PC

Practice address

3736 Mike Padgett Hwy Ste a
Augusta, GA 30906-0720

Phone

(706) 560-2273

Fax

(706) 560-0903

NPI assigned

Nov 10, 2006

Organization subpart

No

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

Authorized official

Name

Mike Hodnick

Title

Practice Manager

Phone

(706) 560-2273

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA, SC2 enrollments

Enrollment records 2

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

• Augusta Hospital LLC

  dba Trinity Hospital of Augusta

  • Psychiatric Hospital Unit
  • Augusta, GA
  • NPI 1073806881

  Member Of

  NPD member
• Augusta Hospital LLC

  dba Trinity Hospital of Augusta

  • General Acute Care Hospital
  • Augusta, GA
  • NPI 1083616213

  Member Of

  NPD member

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2561/brand/1/csg/1/fhir/r4

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sean T Lynch, DO

  • Family Medicine Physician
  • Augusta, GA
  • NPI 1134142474

  SC

  Medicare reassignment Care Compare group NPD
• James Patrick Walton, M.D.

  • Family Medicine Physician
  • Augusta, GA
  • NPI 1578724779
  Medicare reassignment Care Compare group NPD
• Justin Lamar Wilkie, MD

  • Family Medicine Physician
  • Fort Eisenhower, GA
  • NPI 1699930891
  Medicare reassignment Care Compare group NPD
• Katie Snyder Foley

  • Physician Assistant
  • Augusta, GA
  • NPI 1396427365
  Medicare reassignment Care Compare group
• Abigail Schwartz Kinkella, PA-C

  • Physician Assistant
  • Evans, GA
  • NPI 1982291241

  SC

  Medicare reassignment Care Compare group
• Erica Evans Martin, PA-C

  • Physician Assistant
  • Evans, GA
  • NPI 1508459694
  Medicare reassignment Care Compare group
• Christy E Sharbel, PA

  • Physician Assistant
  • Augusta, GA
  • NPI 1770985442
  Medicare reassignment Care Compare group
• Megan A Shiver, PA-C

  • Physician Assistant
  • Augusta, GA
  • NPI 1134454465
  Medicare reassignment Care Compare group
• Thomas J Wieme, PA-C

  • Physician Assistant
  • Augusta, GA
  • NPI 1427207422
  Medicare reassignment Care Compare group
• Carly Schneider

  • Physician Assistant
  • Graniteville, SC
  • NPI 1710224001

  GA

  Medicare reassignment Care Compare group
• Lauren Jackson, MD

  • Family Medicine Physician
  • Augusta, GA
  • NPI 1861874380
  Medicare reassignment NPD

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354838400000",
    "number": "1083785349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3736 MIKE PADGETT HWY STE A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309060720",
            "telephone_number": "706-560-2273",
            "fax_number": "706-560-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3736 MIKE PADGETT HWY STE A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309060720",
            "telephone_number": "706-560-2273",
            "fax_number": "706-560-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN FAMILY MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2012-12-07",
        "status": "A",
        "authorized_official_last_name": "HODNICK",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "706-560-2273"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GRPGPA904",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southeast Retina Center PC
• Southeastern Behavioral Health Services
• Southeastern Medical Brokers, Inc. (Integrity Medical)
• Southern Anesthesia of Augusta LLC
• Southern Eye Clinic P.C. (Southern Eye Center)
• Southern Home Care Services, Inc.
• Southern Home Care Services, Inc. (ResCare HomeCare)
• Southern Home Care Services, Inc. (ResCare HomeCare)
• Southern Home Care Services, Inc.
• Southern Internal Medicine Critical Care Associates, LLC

• Family Medicine Physician in Augusta, GA
• Providers in Augusta, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.