Individual provider Active NPI

Susan T. Bridges, M.D.

  • Obstetrics & Gynecology Physician
  • Augusta, GA
National Provider Identifier
1144203084
Registry record updated Aug 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
44624 Issued in GA
Practice address
1126 Medical Center Dr
Augusta, GA 30909-1810
Phone
(706) 863-5082
Fax
(706) 863-4082
NPI assigned
Nov 23, 2005
Last updated
Aug 15, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 44624 GA Primary

Addresses

Primary practice location

1126 Medical Center Dr
Augusta, GA 30909-1810

Mailing address

1126 Medical Center Dr
Augusta, GA 30909-1810
Phone (706) 863-5082

Other identifiers 2

IdentifierTypeStateIssuer
00884661AMedicaidGA
16BDTNFOtherGAMEDICARE ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101220000697 GA Practitioner - Obstetrics/Gynecology 4082802913 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Louisville School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1126 Medical Ctr Dr
Augusta, GA 30909-1810
Phone (706) 863-5082

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
44624GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Augusta Obstetrics & Gynecology, P.C. Obstetrics & Gynecology CurrentSince Oct 5, 2015 Accepting new patients
Obhg Georgia, P.C. Obstetrics & Gynecology CurrentSince Jul 9, 2021 Accepting new patients

Locations

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

1126 Medical Center Dr
Augusta, GA 30909
Phone (706) 863-5082

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.525005

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313366400000",
    "number": "1144203084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 MEDICAL CENTER DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091810",
            "telephone_number": "706-863-5082",
            "fax_number": "706-863-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 MEDICAL CENTER DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091810",
            "telephone_number": "706-863-5082",
            "fax_number": "706-863-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "SUSAN",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2011-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "44624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00884661A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "16BDTNF",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.