Lou-Ann Jonske-Gubosh, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0002372 Issued in GA

Practice address

3651 Wheeler Rd
Acute Medicalconsulting
Augusta, GA 30909-6521

Phone

(706) 250-1546

Fax

(706) 860-7124

NPI assigned

Oct 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1497831101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211550",
            "address_2": "ACUTE MEDICAL CONSULTING",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309171550",
            "telephone_number": "706-250-1546",
            "fax_number": "706-860-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3651 WHEELER RD",
            "address_2": "ACUTE MEDICALCONSULTING",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096521",
            "telephone_number": "706-250-1546",
            "fax_number": "706-860-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONSKE-GUBOSH",
        "first_name": "LOU-ANN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "0002372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Physician Assistant in Augusta, GA
• Providers in Augusta, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.