Active NPI
Deirdre Christenberry, M.D.
- General Practice Physician
- Augusta, GA
National Provider Identifier
1124287875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 049280
- Practice address
- 2923 Carey CT
Augusta, GA 30909-6125 - Phone
- (706) 955-9228
- NPI assigned
- Jun 7, 2008
- Last updated
- Jun 7, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 049280 | GA | Primary |
Addresses
Primary practice location
2923 Carey CT
Augusta, GA 30909-6125
Mailing address
2923 Carey CT
Augusta, GA 30909-6125
Phone (706) 955-9228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049280 | GA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbus Urgent Care Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212796800000",
"number": "1124287875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2923 CAREY CT",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309096125",
"telephone_number": "706-955-9228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2923 CAREY CT",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309096125",
"telephone_number": "706-955-9228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTENBERRY",
"first_name": "DEIRDRE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-07",
"last_updated": "2008-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "GA",
"license": "049280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Augusta, GA
- Christ Community Health Services Augusta, Inc
- Christ Community Health Services Augusta, Inc
- Christ Community Health Services Augusta, Inc
- Christ Community Health Services Augusta, Inc.
- Christ Community Health Services Augusta, Inc.
- Constance Alexandria Christian, DO
- Theresa L Christie, MD
- Kala Allison Christopherson, NP
- Mark Chua, FNP
- Leah Chun, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.