Active NPI
Medical Oncology Associastes of Augusta
- Specialist
- Augusta, GA
National Provider Identifier
1114931946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 026400
- Legal business name
- MEDICAL ONCOLOGY ASSOCIASTES OF AUGUSTA
- Practice address
- 1348 Walton Way
Ste 6700
Augusta, GA 30901-5104 - Phone
- (706) 722-4245
- Fax
- (706) 722-6652
- NPI assigned
- Jul 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Glenda Hall
- Title
- Business Office Manager
- Phone
- (706) 722-4245
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 026400 | GA | Primary |
Addresses
Primary practice location
1348 Walton Way
Ste 6700
Augusta, GA 30901-5104
Mailing address
1348 Walton Way
Ste 6700
Augusta, GA 30901-5104
Phone (706) 722-4245
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00288593G | Medicaid | GA | |
| G26400 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
1348 Walton Way
Ste 6700
Augusta, GA 30901
Phone (706) 722-4245
5110 Woodside Executive Ct
#A
Aiken, SC 29803
Phone (706) 722-4245
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Hematology & Oncology Physician
- Augusta, GA
- NPI 1689624645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1114931946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1348 WALTON WAY",
"address_2": "STE 6700",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309015104",
"telephone_number": "706-722-4245",
"fax_number": "706-722-6652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1348 WALTON WAY",
"address_2": "STE 6700",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309015104",
"telephone_number": "706-722-4245",
"fax_number": "706-722-6652"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL ONCOLOGY ASSOCIASTES OF AUGUSTA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HALL",
"authorized_official_first_name": "GLENDA",
"authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
"authorized_official_telephone_number": "706-722-4245",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "GA",
"license": "026400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00288593G",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G26400",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
- Medical College of Georgia
- Medical College of Georgia
- Medical College of Georgia
- Medical College of Georgia Hospital
- Medical Help Services, LLC
- Medical Oncology Associates of Augusta, PC
- Medical Oncology LLC (Medical Oncology Associates)
- Medical Services of America Inc (Medi Home Care)
- Abelardo Medina, MD
- Francis Medina, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.