Neeharika Bade, MD
Individual provider Active NPI Pediatric Gastroenterology Physician · Augusta, GA
NPI 1285187484 · NPPES record last updated Dec 9, 2022
Key facts
- NPI
- 1285187484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Gastroenterology Physician 2080P0206X
- License
- 93298 (GA)
- Practice address
- 1120 15TH St
Augusta, GA 30912-3351 - Phone
- (706) 721-8623
- NPI assigned
- Jul 25, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221013000957 | GA | Practitioner - Pediatric Medicine |
4183911183 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 93298 | GA | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Au Medical Associates Inc | Current |
Accepting new patients | |
| Wellstar Medical Group, LLC | Current |
Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Au Medical Associates Inc | Current |
Accepting new patients | |
| Wellstar Medical Group, LLC | Current |
Accepting new patients | |
| Wellstar Cardiovascular Medicine, LLC | Past | Accepting new patients |
Locations
1120 15th St
Augusta, GA 30912
Phone (706) 721-3873
1120 15th St
Ste BI1056
Augusta, GA 30912
Phone (706) 721-2785
1120 15th St
#6000
Augusta, GA 30912
Phone (706) 721-3813
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Gastroenterology Physician | 2080P0206X | 93298 | GA | Yes |
Addresses
Primary practice location
1120 15TH St
Augusta, GA 30912-3351
Mailing address
1120 15TH St # Or-6000
Augusta, GA 30912-0004
Phone (706) 721-3813
Other practice location 1
800 Pennsylvania Ave
Children's Medicine Center
Charleston, WV 25302-3351
Phone (304) 414-1880
Other providers in Augusta, GA
- Ahmed Babiker
- James John Babula
- Gabrielle Bachand
- William Randall Bachand
- Eleanor Claire Baddley
- Kennedy Badger
- Jaqvetta Douglas Bady
- Badys Insurance, Inc
- Christopher Baer Ellington
- Stephanie Leigh Baer
All providers in Augusta, GA · Pediatric Gastroenterology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.