Active NPI
Kenna S. Given, MD PC
- Plastic Surgery Physician
- Augusta, GA
National Provider Identifier
1184807679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- KENNA S. GIVEN, MD PC
- Practice address
- 1120 15TH St
Augusta, GA 30912-0004 - Phone
- (706) 721-2198
- Fax
- (706) 721-5748
- NPI assigned
- Dec 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kenna Given, MD
- Title
- Full Time MD
- Phone
- (706) 721-2198
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | Primary |
Addresses
Primary practice location
1120 15TH St
Augusta, GA 30912-0004
Mailing address
1499 Walton Way
Ste 1400
Augusta, GA 30901-2602
Phone (706) 724-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GPA764 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
1499 Walton Way
Ste 1400
Augusta, GA 30901
Phone (706) 721-4951
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic Surgery Physician
- Augusta, GA
- NPI 1437114725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196985600000",
"number": "1184807679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1499 WALTON WAY",
"address_2": "STE 1400",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309012602",
"telephone_number": "706-724-6100",
"fax_number": "706-722-5187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 15TH ST",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309120004",
"telephone_number": "706-721-2198",
"fax_number": "706-721-5748"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENNA S. GIVEN, MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-07",
"last_updated": "2007-12-07",
"status": "A",
"authorized_official_last_name": "GIVEN",
"authorized_official_first_name": "KENNA",
"authorized_official_title_or_position": "FULL TIME MD",
"authorized_official_telephone_number": "706-721-2198",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GPA764",
"state": "SC"
}
],
"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 Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.