Niti Bhalla Carlson MD PC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

045052 Issued in GA

Legal business name

NITI BHALLA CARLSON MD PC

Practice address

2258 Wrightsboro Rd
Suite 200
Augusta, GA 30904-4887

Phone

(706) 736-2273

Fax

(706) 736-7171

NPI assigned

Jun 5, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Niti Bhalla Carlson, M.D.NPI 1972599363

Title

President

Phone

(706) 736-2273

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6517/brand/1/csg/1/fhir/r4

Practitioners 2

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

• Niti Bhalla Carlson, MD

  • Gynecology Physician
  • Evans, GA
  • NPI 1972599363
  Medicare reassignment Care Compare group NPD Authorized official
• Caroline Grace Long, PA

  • Physician Assistant
  • Evans, GA
  • NPI 1225601750
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370908800000",
    "number": "1346688058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2258 WRIGHTSBORO RD",
            "address_2": "SUITE 200",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309044887",
            "telephone_number": "706-736-2273",
            "fax_number": "706-736-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2258 WRIGHTSBORO RD",
            "address_2": "SUITE 200",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309044887",
            "telephone_number": "706-736-2273",
            "fax_number": "706-736-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NITI BHALLA CARLSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-05",
        "last_updated": "2013-06-11",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "NITI",
        "authorized_official_middle_name": "BHALLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-736-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "GA",
            "license": "045052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee Anna Melissa Nicholson
• Matthew Steven Nicholson, M.D.
• Nestor L. Nieves, MD
• Mustafa Musa Nimir, MD
• Naphun Nimmanonda, PHARMD
• Bethany L Nixon, LPC
• George A. Nixon, MD
• Zikora Adaku Nnabugwu, RPH
• Sarah Noble
• Adrian Shantay Nobles, FNP-C

• Gynecology Physician in Augusta, GA
• Providers in Augusta, GA by specialty
• Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.