Augusta ENT PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

AUGUSTA ENT PC

Practice address

1303 Dantignac St
Suite 1000
Augusta, GA 30901-2775

Phone

(706) 868-5676

Fax

(706) 722-2824

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Jammie Lee Sparks, CPC

Title

Billing Supervisor

Phone

(706) 868-5676

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Augusta ENT PC

  • Specialist
  • Thomson, GA
  • NPI 1043377005

  O20040430000632

  Same enrollment
• Augusta ENT PC

  • Specialist
  • Evans, GA
  • NPI 1770649204

  O20040430000632

  Same enrollment

Locations

Practitioners 5

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

• Christopher McAlister Ayers, M.D.

  • Otolaryngology Physician
  • Evans, GA
  • NPI 1952697633
  NPD
• Jonathan P Lindman, MD

  • Specialist
  • Evans, GA
  • NPI 1740242692
  NPD
• Vanitcha R Pintavorn, MD

  • Allergy Physician
  • Evans, GA
  • NPI 1215931555
  NPD
• Emily Cyr, AUD

  • Audiologist
  • Aiken, SC
  • NPI 1487107660
  NPD
• William A Wells, MD

  • Facial Plastic Surgery Physician
  • Lexington, SC
  • NPI 1194799965
  NPD

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1124185210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 N BELAIR RD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093000",
            "telephone_number": "706-868-5676",
            "fax_number": "706-722-2824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 DANTIGNAC ST",
            "address_2": "SUITE 1000",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012775",
            "telephone_number": "706-868-5676",
            "fax_number": "706-722-2824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA ENT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "JAMMIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "706-868-5676",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Augusta Dental Associates, LLC
• Augusta Dental Associates,LLC
• Augusta Dermatology and Aesthetics Center LLC
• Augusta Dermatology Associates PC
• Augusta Developmental Specialists, LLC
• Augusta Eye MD, PC
• Augusta Eye Surgery, LLC
• Augusta Family Dentistry
• Augusta Family Medical Service
• Augusta Family Medicine LLC

• All providers in Augusta, GA
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.