Organization Active NPI

Augusta Orthopaedic Clinic PA

  • Orthopaedic Surgery Physician
  • Augusta, GA
National Provider Identifier
1316908536
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
AUGUSTA ORTHOPAEDIC CLINIC PA
Practice address
1521 Anthony Rd
Augusta, GA 30904-4821
Phone
(706) 733-1107
Fax
(706) 733-8449
NPI assigned
Mar 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
Jody Bugg
Title
Office Manager
Phone
(706) 733-1107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

1521 Anthony Rd
Augusta, GA 30904-4821

Mailing address

1521 Anthony Rd
Augusta, GA 30904-4821
Phone (706) 733-1107

Other identifiers 1

IdentifierTypeStateIssuer
GPA942MedicaidSC

National Provider Directory

National Provider Directory

Locations

1521 Anthony Rd
Augusta, GA 30904
Phone (404) 733-1107

1400 Winter St
Augusta, GA 30904

Practitioners & affiliated clinicians

Practitioners 2

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": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1316908536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 ANTHONY RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309044821",
            "telephone_number": "706-733-1107",
            "fax_number": "706-733-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 ANTHONY RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309044821",
            "telephone_number": "706-733-1107",
            "fax_number": "706-733-8449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA ORTHOPAEDIC CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "BUGG",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "706-733-1107"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GPA942",
            "state": "SC"
        }
    ],
    "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 Oct 10, 2007; 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.