Organization Active NPI

M. Behnia, MD, PC

  • Pulmonary Disease Physician
  • Augusta, GA
National Provider Identifier
1407144322
Registry record updated Jul 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
49611 Issued in GA
Legal business name
M. BEHNIA, MD, PC
Practice address
3623 J Dewey Gray Cir
Ste 107
Augusta, GA 30909-6511
Phone
(706) 869-0710
NPI assigned
Jul 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2011

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

Authorized official

Name
Mehrdad Behnia, M.D.NPI 1134101413
Title
Owner
Phone
(706) 339-8634

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X 49611 GA Primary

Addresses

Primary practice location

3623 J Dewey Gray Cir
Ste 107
Augusta, GA 30909-6511

Mailing address

3623 J Dewey Gray Cir
Ste 107
Augusta, GA 30909-6511
Phone (706) 869-0710

National Provider Directory

National Provider Directory

Locations

3623 J Dewey Gray Cir
Ste 102
Augusta, GA 30909
Phone (706) 922-4622

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310428800000",
    "number": "1407144322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3623 J DEWEY GRAY CIR",
            "address_2": "STE 107",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096511",
            "telephone_number": "706-869-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3623 J DEWEY GRAY CIR",
            "address_2": "STE 107",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096511",
            "telephone_number": "706-869-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. BEHNIA, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-12",
        "last_updated": "2011-07-12",
        "status": "A",
        "authorized_official_last_name": "BEHNIA",
        "authorized_official_first_name": "MEHRDAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-339-8634",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "49611",
            "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 Jul 12, 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.