Active NPI
Rose Marie Classi, M.D.
- Anesthesiology Physician
- Augusta, GA
National Provider Identifier
1154335099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 046748
- Practice address
- 1125 Troupe St
Augusta, GA 30904-4480 - Phone
- (067) 737-4575
- Fax
- (706) 731-5289
- NPI assigned
- Jul 28, 2006
- Last updated
- Apr 12, 2018
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 046748 | GA | |
| Pediatric Anesthesiology Physician | 207LP3000X | 046748 | GA | |
| Anesthesiology Physician | 207L00000X | 046748 | GA | Primary |
| Addiction Medicine (Anesthesiology) Physician | 207LA0401X | 046748 | GA | |
| Specialist | 174400000X | 046748 | GA | |
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | 046748 | GA | |
| Hospice and Palliative Medicine (Anesthesiology) Physician | 207LH0002X | 046748 | GA |
Addresses
Primary practice location
1125 Troupe St
Augusta, GA 30904-4480
Mailing address
PO Box 3842
1125 Troupe Street
Augusta, GA 30914-3842
Phone (706) 737-4575
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114003 | Other | BCBS-GA | |
| 050079754 | Other | RR MEDICARE | |
| 235002300 | Other | ACS / US DOL | |
| 000815911B | Medicaid | GA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046748 | GA | MD | Anesthesiology Physician |
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.
-
- Anesthesiology Physician
- Augusta, GA
- NPI 1003032368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523491200000",
"number": "1154335099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3842",
"address_2": "1125 TROUPE STREET",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309143842",
"telephone_number": "706-737-4575",
"fax_number": "706-731-5289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 TROUPE ST",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309044480",
"telephone_number": "067-737-4575",
"fax_number": "706-731-5289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLASSI",
"first_name": "ROSE MARIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2018-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "GA",
"license": "046748",
"primary": false
},
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "GA",
"license": "046748",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "046748",
"primary": true
},
{
"code": "207LA0401X",
"taxonomy_group": "",
"desc": "Anesthesiology, Addiction Medicine",
"state": "GA",
"license": "046748",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "046748",
"primary": false
},
{
"code": "207LC0200X",
"taxonomy_group": "",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "GA",
"license": "046748",
"primary": false
},
{
"code": "207LH0002X",
"taxonomy_group": "",
"desc": "Anesthesiology, Hospice and Palliative Medicine",
"state": "GA",
"license": "046748",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-GA",
"identifier": "114003",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "050079754",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACS / US DOL",
"identifier": "235002300",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000815911B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
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 Apr 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.