Active NPI
Able Pediatrics Health Services LLC
- Pediatric Occupational Therapist
- Augusta, GA
National Provider Identifier
1194235028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT006115
- Legal business name
- ABLE PEDIATRICS HEALTH SERVICES LLC
- Practice address
- 3727 Executive Center Dr
Augusta, GA 30907-2398 - Phone
- (706) 842-5331
- Fax
- (706) 842-5351
- NPI assigned
- Oct 5, 2017
- 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. Shannon N Myers, MD
- Title
- Medical Director
- Phone
- (706) 842-5331
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT011580 | GA | |
| Pediatric Occupational Therapist | 225XP0200X | OT006115 | GA | Primary |
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
3727 Executive Center Dr
Augusta, GA 30907-2398
Mailing address
3727 Executive Center Dr
Augusta, GA 30907-2398
Phone (706) 842-5331
National Provider Directory
National Provider DirectoryLocations
3727 Executive Center Dr
Martinez, GA 30907
Phone (706) 842-5331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1515024000000",
"number": "1194235028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3727 EXECUTIVE CENTER DR",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309072398",
"telephone_number": "706-842-5331",
"fax_number": "706-842-5351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3727 EXECUTIVE CENTER DR",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309072398",
"telephone_number": "706-842-5331",
"fax_number": "706-842-5351"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABLE PEDIATRICS HEALTH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-05",
"last_updated": "2018-01-04",
"status": "A",
"authorized_official_last_name": "MYERS",
"authorized_official_first_name": "SHANNON",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "706-842-5331",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "GA",
"license": "MFT011580",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": "GA",
"license": "OT006115",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Jan 4, 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.