Christa Marie Pepitone, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

67587 Issued in GA

Practice address

618 Ponder Place Dr
Suite 2
Evans, GA 30809-3117

Phone

(706) 760-7607

NPI assigned

Jun 23, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Au Medical Associates Inc

  • Multi-Specialty Clinic/Center
  • Augusta, GA
  • NPI 1841230620
  Medicare reassignment NPD
• Au Medical Associates Inc

  • Durable Medical Equipment & Medical Supplies
  • Augusta, GA
  • NPI 1114574126
  NPD

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398902400000",
    "number": "1376771899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 PONDER PLACE DR",
            "address_2": "SUITE 2",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093117",
            "telephone_number": "706-760-7607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 PONDER PLACE DR",
            "address_2": "SUITE 2",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093117",
            "telephone_number": "706-760-7607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPITONE",
        "first_name": "CHRISTA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-23",
        "last_updated": "2014-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "67587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer R. Pedersen, DO
• Pediatric Partners of Augusta, LLC
• Dawn Marie Warren Peel, LPC
• Dorthe Rauholt Peloquin, M.D.
• Carla M Pennington, M.ED. CCC-SLP
• Miguel Alexis Pereira, M.D.
• Perfect Health Always on Call, LLC
• Amber O. Perry, D.M.D.
• Brooke Leeanna Perry, BCBA
• Savanna Perry, PA-C

• Family Medicine Physician in Evans, GA
• Providers in Evans, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.