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
- 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 and National Provider Directory roles.
-
- Family Medicine Physician
- Columbus, IN
- NPI 1548338635
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.