Individual provider Active NPI

George Augustine, M.D

  • Pulmonary Disease Physician
  • Orangeburg, SC
National Provider Identifier
1376696898
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
16453 Issued in SC
Practice address
1133 Cook Rd
Orangeburg, SC 29118-8204
Phone
(803) 531-5864
Fax
(803) 539-0452
NPI assigned
Jan 19, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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 6

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

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1133 Cook Rd
Orangeburg, SC 29118-8204
Phone (803) 531-5864

Hospital & facility affiliations

  • Musc Medical Center Hospital, Charleston, SC, CCN 420004

Merit-based Incentive Payment System (MIPS)

Final score
66.56 of 100Reported as individual
Quality
33.13
Improvement activities
40

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20110322000840 SC Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 2668458563 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16453SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Orangeburg Lung Associates PA Pulmonary Disease CurrentSince Jul 23, 1998 Accepting new patients

Locations

1133 Cook Rd
Orangeburg, SC 29118
Phone (803) 531-5864

Interoperability endpoints

  • Direct secure messaging: gaugustine178614@direct.musc.edu
  • Direct secure messaging: georgeaugustine@olapa.allscriptsdirect.net

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 16453 SC Primary

Addresses

NPPES NPI Registry

Primary practice location

1133 Cook Rd
Orangeburg, SC 29118-8204

Mailing address

1133 Cook Rd
Orangeburg, SC 29118-8204
Phone (803) 531-5864

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
GP2133MedicaidSC

Other names 1

NPPES NPI Registry
  • Dr. George Augustine Professional name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376696898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 COOK RD",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291188204",
            "telephone_number": "803-531-5864",
            "fax_number": "803-539-0452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 COOK RD",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291188204",
            "telephone_number": "803-531-5864",
            "fax_number": "803-539-0452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUGUSTINE",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "SC",
            "license": "16453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2133",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEORGE",
            "last_name": "AUGUSTINE",
            "prefix": "DR.",
            "credential": "M.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Orangeburg, SC

Sources for this page

Verify at the official NPI Registry.