Individual provider Active NPI

Nathan Thom Schlies, DO

  • Family Medicine Physician
  • Augusta, GA
National Provider Identifier
1104556455
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13870 Issued in GA
Practice address
1467 Harper St
Augusta, GA 30901-2600
Phone
(706) 721-3157
NPI assigned
Jun 10, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 13870 GA Primary

Addresses

Primary practice location

1467 Harper St
Augusta, GA 30901-2600

Mailing address

305 Pine Branch CT
Columbus, GA 31909-2123
Phone (706) 464-3045

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
I20220715001206 GA Order and Referring Only - Family PracticePractitioner - Family Practice 3971984337

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13870GAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1104556455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 PINE BRANCH CT",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319092123",
            "telephone_number": "706-464-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1467 HARPER ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012600",
            "telephone_number": "706-721-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLIES",
        "first_name": "NATHAN",
        "middle_name": "THOM",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "13870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.