Active NPI
Augusto E Soltero, MD
- Sports Medicine (Family Medicine) Physician
- Albany, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 061350
- Practice address
- 2336 Dawson Rd
Suite 2200
Albany, GA 31707-2800 - Phone
- (229) 312-8871
- Fax
- (229) 312-8743
- NPI assigned
- May 21, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 17300 | PR | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 061350 | GA | Primary |
| Family Medicine Physician | 207Q00000X | ME96748 | FL |
Addresses
Primary practice location
2336 Dawson Rd
Suite 2200
Albany, GA 31707-2800
Mailing address
2336 Dawson Rd
Suite 2200
Albany, GA 31707-2800
Phone (229) 312-8871
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1665 S Green St
Tupelo, MS 38804-6556
Phone (662) 377-2189
Hospital & facility affiliations
- North Mississippi Medical Ctr HHA
- North Mississippi Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME96748 | FL | MD | Family Medicine Physician |
| 061350 | GA | MD | Sports Medicine (Family Medicine) Physician |
| 17300 | PR | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoebe Physician Group, Inc | Current | Accepting new patients | |
| Phoebe Family Medicine,Coffee County | Current | Accepting new patients | |
| North Mississippi Medical Center | Current | Accepting new patients | |
| North Mississippi Faculty Practice Plan LLC | Family Medicine | Current | Accepting new patients |
| Phoebe Putney Memorial Hospital | Family Medicine | Past | Accepting new patients |
| North Mississippi Medical Center, Inc. | Past | Accepting new patients |
Locations
2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802
500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802
2336 Dawson Rd
Ste 2200
Albany, GA 31707
Phone (229) 312-8671
151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900
1665 S Green St
Tupelo, MS 38804
Phone (662) 377-2189
Interoperability endpoints
- augustosoltero@nmhs.medalliesdirect.net
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Tupelo, MS
- NPI 1255692356
-
- Clinic/Center
- Albany, GA
- NPI 1487899464
-
- Clinic/Center
- Douglas, GA
- NPI 1477997278
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1376969683
-
- Family Medicine Physician
- Albany, GA
- NPI 1609268176
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1598875460
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Tupelo, MS
- NPI 1003871344
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1598875460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273708800000",
"number": "1346407814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2336 DAWSON RD",
"address_2": "SUITE 2200",
"city": "ALBANY",
"state": "GA",
"postal_code": "317072800",
"telephone_number": "229-312-8871",
"fax_number": "229-312-8743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2336 DAWSON RD",
"address_2": "SUITE 2200",
"city": "ALBANY",
"state": "GA",
"postal_code": "317072800",
"telephone_number": "229-312-8871",
"fax_number": "229-312-8743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLTERO",
"first_name": "AUGUSTO",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-21",
"last_updated": "2010-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "PR",
"license": "17300",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "GA",
"license": "061350",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME96748",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.