Individual provider Active NPI

David Ronald Squires, M.D.

  • Hematology & Oncology Physician
  • Augusta, GA
National Provider Identifier
1376520148
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
052835 Issued in GA
Practice address
3696 Wheeler Rd
Augusta, GA 30909-6520
Phone
(706) 736-1830
Fax
(706) 737-5103
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 052835 GA Primary
Specialist 174400000X 052835 GA

Addresses

Primary practice location

3696 Wheeler Rd
Augusta, GA 30909-6520

Mailing address

3696 Wheeler Rd
Augusta, GA 30909-6520
Phone (706) 736-1830

Other identifiers 5

IdentifierTypeStateIssuer
851030536AMedicaidGA
004423OtherGABLUE CROSS BLUE SHIELD
G52835MedicaidSC
P00035368OtherGARAILROAD MEDICARE
604802700OtherGAUNITED HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 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
I20110215000482 GA Practitioner - Medical Oncology 8022049402 Reassigns benefits to 1 organization
I20210427000318 SC Practitioner - Hematology/Oncology 8022049402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
University of Utah School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Augusta Oncology Associates PCGroup PAC ID 8921089756, shared by 2 NPIs, 36 clinicians

Practice addresses (Care Compare)

1303 Dantignac St
Suite 1000
Augusta, GA 30901-2776
Phone (706) 821-2944

150 Bluff Ave
North Augusta, SC 29841-3862
Phone (706) 736-1830

222 University Pkwy
Aiken, SC 29801-6310

3696 Wheeler Rd
Augusta, GA 30909-6520
Phone 7067361830213

Hospital & facility affiliations

  • Allay Hospice, Inc Hospice, Thomson, GA, CCN 851564
  • Piedmont Augusta Hospital Hospital, Augusta, GA, CCN 110028
  • Doctors Hospital Hospital, Augusta, GA, CCN 110177
  • Wellstar MCG Health, Affiliated With Med Col Hospital, Augusta, GA, CCN 110034
  • Aiken Regional Medical Center Hospital, Aiken, SC, CCN 420082

Merit-based Incentive Payment System (MIPS)

Final score
82.47 of 100Reported as group
Quality
41.03
Promoting interoperability
97
Improvement activities
40
Cost
98.45

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Augusta Oncology Associates, P.C. Specialist CurrentSince Dec 1, 2020 Accepting new patients
Augusta Oncology Associates PC Specialist CurrentSince Jul 14, 2003 Accepting new patients
Augusta Oncology Associates PC Specialist CurrentSince Jul 14, 2003 Accepting new patients

Locations

3696 Wheeler Rd
Augusta, GA 30909
Phone (706) 736-1830

222 University Pkwy
Aiken, SC 29801
Phone (706) 736-1830

150 Bluff Ave
North Augusta, SC 29841
Phone (706) 736-1830

Organizations & group practices 3

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 7

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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1376520148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3696 WHEELER RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096520",
            "telephone_number": "706-736-1830",
            "fax_number": "706-737-5103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3696 WHEELER RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096520",
            "telephone_number": "706-736-1830",
            "fax_number": "706-737-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUIRES",
        "first_name": "DAVID",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GA",
            "license": "052835",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "052835",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "851030536A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "004423",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G52835",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00035368",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "604802700",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.