NPIMap

Organization Active NPI

General Surgery & Oncology Associates of Augusta, P.C.

  • Surgery Physician
  • Augusta, GA
National Provider Identifier
1497816094
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
019942 Issued in GA
Legal business name
GENERAL SURGERY & ONCOLOGY ASSOCIATES OF AUGUSTA, P.C.
Practice address
3623 J Dewey Gray Circle
Suite 101
Augusta, GA 30909-6595
Phone
(706) 868-5057
Fax
(706) 855-1244
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jack A Feldman, M.D.NPI 1891771150
Title
President
Phone
(706) 868-5057

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
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 019942 GA Primary

Addresses

Primary practice location

3623 J Dewey Gray Circle
Suite 101
Augusta, GA 30909-6595

Mailing address

3623 J Dewey Gray Circle
Suite 101
Augusta, GA 30909-6595
Phone (706) 868-5057

Other identifiers 1

IdentifierTypeStateIssuer
GAP021MedicaidSC

National Provider Directory

National Provider Directory

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": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497816094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3623 J DEWEY GRAY CIRCLE",
            "address_2": "SUITE 101",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096595",
            "telephone_number": "706-868-5057",
            "fax_number": "706-855-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3623 J DEWEY GRAY CIRCLE",
            "address_2": "SUITE 101",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096595",
            "telephone_number": "706-868-5057",
            "fax_number": "706-855-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL SURGERY & ONCOLOGY ASSOCIATES OF AUGUSTA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FELDMAN",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-868-5057",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "GA",
            "license": "019942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GAP021",
            "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 Aug 22, 2020; 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.