Individual provider Active NPI

Jodi Lynn Krueger, MD

  • Family Medicine Physician
  • Augusta, GA
National Provider Identifier
1235165689
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
56123 Issued in GA
Practice address
2011 Windsor Spring Road
Augusta, GA 30906
Phone
(706) 798-1700
Fax
(706) 798-8626
NPI assigned
Jun 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 56123 GA Primary

Addresses

Primary practice location

2011 Windsor Spring Road
Augusta, GA 30906

Mailing address

PO Box 2510
Evans, GA 30809-2510
Phone (706) 922-8251

Other identifiers 6

IdentifierTypeStateIssuer
10057033OtherGAAMERIGROUP
56123OtherGAGA
599460869AMedicaidGA
CH0654OtherGARR MEDICARE GROUP PIN
G56123MedicaidSC
336988OtherGAWELLCARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jodi.krueger.1@26418.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050615000701 GA Practitioner - Family Practice 2466496427 Reassigns benefits to 1 organization
I20090924000431 SC Practitioner - Family Practice 2466496427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Center for Primary Care PCGroup PAC ID 4385633247, 57 clinicians

Practice addresses (Care Compare)

105 E Hugh St
North Augusta, SC 29841-2925
Phone 7066507799284

2011 Windsor Spring Rd
Augusta, GA 30906-4957
Phone (706) 798-1700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56123GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Primary Care PC Family Medicine CurrentSince Jun 1, 2005 Accepting new patients
Cabarrus Family Medicine Past Accepting new patients
Au Medical Associates Inc Past Accepting new patients
Cabarrus Family Medicine Past Accepting new patients

Locations

2011 Windsor Spring Rd
Augusta, GA 30906
Phone (706) 798-1700

363 N Belair Rd
Evans, GA 30809
Phone (706) 650-7563

105 E Hugh St
North Augusta, SC 29841
Phone (706) 650-7799

Interoperability endpoints

  • Direct secure messaging: jodi.krueger.1@26418.direct.athenahealth.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/c32cb33f-ec61-4f25-9140-0b9b174fe4db/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1235165689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2510",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308092510",
            "telephone_number": "706-922-8251",
            "fax_number": "706-922-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 WINDSOR SPRING ROAD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30906",
            "telephone_number": "706-798-1700",
            "fax_number": "706-798-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUEGER",
        "first_name": "JODI",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-25",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "56123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10057033",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA",
            "identifier": "56123",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "599460869A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP PIN",
            "identifier": "CH0654",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G56123",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "336988",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jodi.krueger.1@26418.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "2011 Windsor Spring Road",
            "city": "Augusta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.