Organization Active NPI

West Augusta Spine Specialists

  • Neurological Surgery Physician
  • Augusta, GA
National Provider Identifier
1306907381
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
017959 Issued in GA
Legal business name
WEST AUGUSTA SPINE SPECIALISTS
Practice address
1215 George C Wilson Dr
Suite B-3
Augusta, GA 30909-5700
Phone
(706) 922-4450
Fax
(706) 922-4453
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ildemaro J Volcan, M.D.NPI 1437101599
Title
Owner
Phone
(706) 922-4450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X 017959 GA Primary

Addresses

Primary practice location

1215 George C Wilson Dr
Suite B-3
Augusta, GA 30909-5700

Mailing address

1215 George C Wilson Dr
Suite B-3
Augusta, GA 30909-5700
Phone (706) 922-4450

National Provider Directory

National Provider Directory

Locations

1215 George C Wilson Dr
Ste 3B
Augusta, GA 30909
Phone (706) 860-3681

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306907381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 GEORGE C WILSON DR",
            "address_2": "SUITE B-3",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309095700",
            "telephone_number": "706-922-4450",
            "fax_number": "706-922-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 GEORGE C WILSON DR",
            "address_2": "SUITE B-3",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309095700",
            "telephone_number": "706-922-4450",
            "fax_number": "706-922-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST AUGUSTA SPINE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VOLCAN",
        "authorized_official_first_name": "ILDEMARO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-922-4450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "GA",
            "license": "017959",
            "primary": true
        }
    ],
    "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 Aug 22, 2020; 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.