Individual provider Active NPI

Patricia Williams Duncan, RN

  • Family Nurse Practitioner
  • Augusta, GA
National Provider Identifier
1265520050
Registry record updated Feb 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN078954 NP Issued in GA
Practice address
1446 Lee Beard Way
Augusta, GA 30901-3414
Phone
(706) 726-6763
Fax
(706) 726-6763
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN078954 NP GA Primary

Addresses

Primary practice location

1446 Lee Beard Way
Augusta, GA 30901-3414

Mailing address

1446 Lee Beard Way
Augusta, GA 30901-3414
Phone (706) 726-6763

Other names 1

  • Ms. Patricia Williams Duncan Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100826000477 GA Practitioner - Nurse Practitioner 7416071535 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN078954 NPGAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beulah Grove Community Resource Center CurrentSince Jan 21, 2025 Accepting new patients
Senior Psych Solutions Corp Past Accepting new patients

Locations

1448 Linden St
Augusta, GA 30901
Phone (706) 828-2374

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GGAFDD/Endpoint/GGAFDD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266710400000",
    "number": "1265520050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1446 LEE BEARD WAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309013414",
            "telephone_number": "706-726-6763",
            "fax_number": "706-726-6763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1446 LEE BEARD WAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309013414",
            "telephone_number": "706-726-6763",
            "fax_number": "706-726-6763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "PATRICIA",
        "middle_name": "WILLIAMS",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2010-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN078954 NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "DUNCAN",
            "middle_name": "WILLIAMS",
            "prefix": "MS.",
            "credential": "RN, MSN, FNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.