Individual provider Active NPI

Augusto E Soltero, MD

  • Sports Medicine (Family Medicine) Physician
  • Albany, GA
National Provider Identifier
1346407814
Registry record updated May 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
061350 Issued in GA
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

Updated by the provider on May 13, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, MS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100512000735 GA Practitioner - Family Practice 4688702665 Reassigns benefits to 1 organization
I20200903001808 MS Practitioner - Family Practice 4688702665 Reassigns benefits to 1 organization

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
North Mississippi Faculty Practice Plan LLCGroup PAC ID 2961658950, 8 clinicians

Practice addresses (Care Compare)

1665 S Green St
Tupelo, MS 38804-6556
Phone (662) 377-2189

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME96748FLMDFamily Medicine Physician
061350GAMDSports Medicine (Family Medicine) Physician
17300PRMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoebe Physician Group, Inc CurrentSince Mar 1, 2010 Accepting new patients
Phoebe Family Medicine,Coffee County CurrentSince Mar 1, 2010 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
North Mississippi Faculty Practice Plan LLC Family Medicine CurrentSince Aug 31, 2020 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.