Augusta Primary Care Services, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

27620 Issued in SC

Legal business name

AUGUSTA PRIMARY CARE SERVICES, LLC

Practice address

3623 J Dewey Gray Cir
Suite 210
Augusta, GA 30909-6511

Phone

(706) 922-7670

Fax

(706) 922-7680

NPI assigned

Sep 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Prakash Maniam, M.D.NPI 1922084433

Title

Provider

Phone

(706) 922-7670

Specialties & licenses 1

Addresses

Other names 1

• Augusta Health Spec-Urology Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Prakash Maniam, M.D.

  • Urology Physician
  • Aiken, SC
  • NPI 1922084433

  Specialist

  NPD (past) Authorized official

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372118400000",
    "number": "1225225014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3623 J DEWEY GRAY CIR",
            "address_2": "SUITE 210",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096511",
            "telephone_number": "706-922-7670",
            "fax_number": "706-922-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3623 J DEWEY GRAY CIR",
            "address_2": "SUITE 210",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096511",
            "telephone_number": "706-922-7670",
            "fax_number": "706-922-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA PRIMARY CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2013-06-25",
        "status": "A",
        "authorized_official_last_name": "MANIAM",
        "authorized_official_first_name": "PRAKASH",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "706-922-7670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "SC",
            "license": "27620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Augusta Health Spec-Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Augusta Physicians Group, LLC
• Augusta Podiatry Associates
• Augusta Preventive Cardiology
• Augusta Preventive Cardiology
• Augusta Primary Care Services LLC
• Augusta Primary Care Services, LLC
• Augusta Prosthetics & Orthotics Inc
• Augusta Psychiatry and Therapy Associates, LLC
• Augusta Rehabilitation Associates, P.C.
• Augusta Renal Physicians, P.C.

• Specialist in Augusta, GA
• Providers in Augusta, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.