Sujith Abbagoni, MD
Individual provider Active NPI Psychiatry Physician · Augusta, GA
NPI 1376334235 · NPPES record last updated May 13, 2025
Key facts
- NPI
- 1376334235
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 17377 (GA)
- Practice address
- 997 Saint Sebastian Way
Augusta, GA 30912-2613 - Phone
- (678) 986-5248
- NPI assigned
- May 13, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250724004484 | GA | Order and Referring Only - Psychiatry |
0840707832 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 17377 | GA | Yes |
Addresses
Primary practice location
997 Saint Sebastian Way
Augusta, GA 30912-2613
Mailing address
1455 Rocky Shoals LN
Suwanee, GA 30024-7712
Phone (678) 986-5248
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All providers in Augusta, GA · Psychiatry Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.