Individual provider Active NPI

Todd Allen Maugans, M.D.

  • Neurological Surgery Physician
  • Augusta, GA
National Provider Identifier
1518993252
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME112747 Issued in FL
Practice address
1120 15TH St # Bi3088
Augusta, GA 30912-2946
Phone
(407) 757-6474
NPI assigned
Jun 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 35-083940 OH
Neurological Surgery Physician 207T00000X 87088 SC
Neurological Surgery Physician 207T00000X ME112747 FL Primary

Addresses

Primary practice location

1120 15TH St # Bi3088
Augusta, GA 30912-2946

Mailing address

PO Box 191
Provider Enrollment
Rockland, DE 19732-0191
Phone (302) 651-6212

Other practice location 1

48 Cross Park Ct
Greenville, SC 29605-4263
Phone (864) 797-7440

Other identifiers 2

IdentifierTypeStateIssuer
GA2550MedicaidSC
2461858MedicaidOH

Other names 1

  • Dr. Todd Allen Maugans Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA, SC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20120718000622 FL Practitioner - NeurosurgeryPractitioner - Neurology 8224028675 Reassigns benefits to 2 organizations
I20191031002817 GA Practitioner - Neurosurgery 8224028675 Reassigns benefits to 1 organization
I20220106002218 SC Practitioner - Neurosurgery 8224028675 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-083940OHMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Nemours Foundation CurrentSince Apr 29, 2012 Accepting new patients
Prisma Health University Medical Group CurrentSince May 1, 2022 Accepting new patients
Au Medical Associates Inc CurrentSince Sep 18, 2019 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Sep 5, 2022 Accepting new patients
Prisma Health University Medical Group CurrentSince May 1, 2022 Accepting new patients
The Nemours Foundation CurrentSince Apr 29, 2012 Accepting new patients
Au Medical Associates Inc CurrentSince Sep 18, 2019 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Sep 5, 2022 Accepting new patients
The Nemours Foundation Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

1717 S Orange Ave
Ste 100
Orlando, FL 32806

1749 David Walker Dr
Tavares, FL 32778
Phone (352) 742-1760

787 37th St
Ste E170
Vero Beach, FL 32960
Phone (772) 569-3212

1685 Lee Rd
Ste 100
Winter Park, FL 32789
Phone (407) 896-8097

1120 15th St
#3088
Augusta, GA 30912
Phone (706) 721-3071

1120 15th St
#6000
Augusta, GA 30912
Phone (706) 721-3813

1120 15th St
Ste BI1056
Augusta, GA 30912
Phone (706) 721-2785

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

450 Society Hill Dr
Aiken, SC 29803
Phone (706) 722-4245

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

48 Cross Park Ct
Greenville, SC 29605
Phone (864) 235-1122

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: tmaugan591028@direct.ghs.myhfn.org

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1518993252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191",
            "address_2": "PROVIDER ENROLLMENT",
            "city": "ROCKLAND",
            "state": "DE",
            "postal_code": "197320191",
            "telephone_number": "302-651-6212",
            "fax_number": "302-651-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 15TH ST # BI3088",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309122946",
            "telephone_number": "407-757-6474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "48 Cross Park Ct",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054263",
            "country_code": "US",
            "telephone_number": "864-797-7440",
            "fax_number": "864-797-7469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAUGANS",
        "first_name": "TODD",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OH",
            "license": "35-083940",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "SC",
            "license": "87088",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME112747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GA2550",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2461858",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TODD",
            "last_name": "MAUGANS",
            "middle_name": "ALLEN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.