NPIMap

Organization Active NPI

Edouard J Servy MD PC

  • Obstetrics & Gynecology Physician
  • Augusta, GA
National Provider Identifier
1124016316
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
O16755 Issued in GA
Legal business name
EDOUARD J SERVY MD PC
Practice address
812 Chafee Ave
Augusta, GA 30904-5806
Phone
(706) 724-0228
Fax
(706) 722-2387
NPI assigned
Oct 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Joan Ann Rutledge
Title
Business Manager
Phone
(706) 724-0228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X O16755 GA Primary

Addresses

Primary practice location

812 Chafee Ave
Augusta, GA 30904-5806

Mailing address

812 Chafee Ave
Augusta, GA 30904-5806
Phone (706) 724-0228

Other names 1

  • Servy Institute for Reproductive Endocrinology Doing business as

National Provider Directory

National Provider Directory

Locations

812 Chafee Ave
Augusta, GA 30904
Phone (706) 724-0028

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124016316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 CHAFEE AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309045806",
            "telephone_number": "706-724-0228",
            "fax_number": "706-722-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 CHAFEE AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309045806",
            "telephone_number": "706-724-0228",
            "fax_number": "706-722-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDOUARD J SERVY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUTLEDGE",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "706-724-0228",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "O16755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Servy Institute for Reproductive Endocrinology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 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.

Verify at the official NPI Registry.