Active NPI
Vendie Hudson Hooks III, M.D.
- Colon & Rectal Surgery Physician
- Augusta, GA
National Provider Identifier
1336222694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 017026
- Practice address
- 1348 Walton Way
Suite 6500
Augusta, GA 30901-5104 - Phone
- (706) 722-2118
- Fax
- (706) 722-0342
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | 017026 | GA | Primary |
Addresses
Primary practice location
1348 Walton Way
Suite 6500
Augusta, GA 30901-5104
Mailing address
1348 Walton Way
Suite 6500
Augusta, GA 30901-5104
Phone (706) 722-2118
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2089760 | Other | GA | AETNA HMO |
| 1591891003 | Other | GA | CIGNA HMO |
| 00201528B | Medicaid | GA | |
| 4138352 | Other | GA | AETNA |
| 1591891002 | Other | GA | CIGNA |
| 457030 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017026 | GA | MD | Colon & Rectal Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266192000000",
"number": "1336222694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1348 WALTON WAY",
"address_2": "SUITE 6500",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309015104",
"telephone_number": "706-722-2118",
"fax_number": "706-722-0342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1348 WALTON WAY",
"address_2": "SUITE 6500",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309015104",
"telephone_number": "706-722-2118",
"fax_number": "706-722-0342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOKS",
"first_name": "VENDIE",
"middle_name": "HUDSON",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2010-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "GA",
"license": "017026",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2089760",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HMO",
"identifier": "1591891003",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00201528B",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4138352",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1591891002",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "457030",
"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 Feb 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.