Augusta Critical Care LLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

AUGUSTA CRITICAL CARE LLC

Practice address

1537 Walton Way
Augusta, GA 30904-3764

Phone

(706) 731-1200

NPI assigned

Oct 4, 2022

Organization subpart

No

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

Authorized official

Name

Harigopal Reddy, MDNPI 1144531641

Title

Owner

Phone

(706) 414-9640

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 3

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

• Harigopal Sreerama Reddy, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Augusta, GA
  • NPI 1144531641

  Pulmonary Disease

  Medicare reassignment Care Compare group NPD Authorized official
• Davis L Mellick, PA-C

  • Medical Physician Assistant
  • Augusta, GA
  • NPI 1407165236
  Medicare reassignment Care Compare group
• Caitlan Boswell, NP

  • Nurse Practitioner
  • Augusta, GA
  • NPI 1336978436
  NPD (past)

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1457075376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 J DEWEY GRAY CIR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096424",
            "telephone_number": "706-504-4651",
            "fax_number": "706-504-4639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 WALTON WAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309043764",
            "telephone_number": "706-731-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA CRITICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "HARIGOPAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-414-9640",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pulmonary Disease Physician in Augusta, GA
• Providers in Augusta, GA by specialty
• Pulmonary Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.