NPIMap

Organization Active NPI

Georgia Regents University

  • General Practice Physician
  • Augusta, GA
National Provider Identifier
1386065258
Registry record updated Dec 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
58438 Issued in GA
Legal business name
GEORGIA REGENTS UNIVERSITY
Practice address
1120 15TH St
Pavilion II, Af 1040
Augusta, GA 30912-0004
Phone
(706) 723-4302
NPI assigned
Dec 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2013

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

Authorized official

Name
Dr. Chad Allen Asplund, MD
Title
Medical Director Student Health
Phone
(706) 723-4302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 58438 GA Primary

Addresses

Primary practice location

1120 15TH St
Pavilion II, Af 1040
Augusta, GA 30912-0004

Mailing address

1120 15TH St
Pavilion II, Af 1040
Augusta, GA 30912-0004
Phone (706) 723-4302

National Provider Directory

National Provider Directory
Tax ID family
Augusta University9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1120 15th St
#1040
Augusta, GA 30912
Phone (706) 723-4302

NPI Registry JSON

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

{
    "created_epoch": "1387411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387497600000",
    "number": "1386065258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 15TH ST",
            "address_2": "PAVILION II, AF 1040",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120004",
            "telephone_number": "706-723-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 15TH ST",
            "address_2": "PAVILION II, AF 1040",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120004",
            "telephone_number": "706-723-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA REGENTS UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-19",
        "last_updated": "2013-12-20",
        "status": "A",
        "authorized_official_last_name": "ASPLUND",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR STUDENT HEALTH",
        "authorized_official_telephone_number": "706-723-4302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "GA",
            "license": "58438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.