Individual provider Active NPI

Relpha Escalona-Cruz, M.D.

  • Pediatrics Physician
  • Augusta, GA
National Provider Identifier
1396734703
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
051131 Issued in GA
Practice address
1113 Garredd Blvd Ste B
Augusta, GA 30909-6674
Phone
(706) 868-0919
Fax
(706) 868-0929
NPI assigned
Oct 18, 2005
Last updated
Nov 4, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 051131 GA Primary

Addresses

Primary practice location

1113 Garredd Blvd Ste B
Augusta, GA 30909-6674

Mailing address

786 Locks Way
Martinez, GA 30907-4976
Phone (706) 231-5993

Other identifiers 5

IdentifierTypeStateIssuer
000940354CMedicaidGA
000940354DMedicaidGA
000940354AMedicaidGA
000940354EMedicaidGA
GA1138MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
051131GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pebe Med, Inc PastSince Jul 24, 2022 Accepting new patients
Doctors Hospital of Augusta LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1396734703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "786 LOCKS WAY",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309074976",
            "telephone_number": "706-231-5993",
            "fax_number": "706-868-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 GARREDD BLVD STE B",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096674",
            "telephone_number": "706-868-0919",
            "fax_number": "706-868-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCALONA-CRUZ",
        "first_name": "RELPHA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "051131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000940354C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000940354D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000940354A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000940354E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GA1138",
            "state": "SC"
        }
    ],
    "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 Nov 4, 2011; 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.