NPIMap

Organization Active NPI

Medical College of Georgia Hospital

  • General Acute Care Hospital
  • Augusta, GA
National Provider Identifier
1558436634
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
026773 Issued in GA
Legal business name
MEDICAL COLLEGE OF GEORGIA HOSPITAL
Practice address
1120 15TH St
Augusta, GA 30912-0004
Phone
(706) 721-7453
Fax
(706) 721-7781
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Dr. Dorth Greer Falls III, M.D.
Title
Assocaite Professor
Phone
(706) 721-7453

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 026773 GA Primary

Addresses

Primary practice location

1120 15TH St
Augusta, GA 30912-0004

Mailing address

747 Magruder LNDG
Evans, GA 30809-4063
Phone (706) 868-0644

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1558436634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 MAGRUDER LNDG",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308094063",
            "telephone_number": "706-868-0644",
            "fax_number": "706-721-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 15TH ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120004",
            "telephone_number": "706-721-7453",
            "fax_number": "706-721-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL COLLEGE OF GEORGIA HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "FALLS",
        "authorized_official_first_name": "DORTH",
        "authorized_official_middle_name": "GREER",
        "authorized_official_title_or_position": "ASSOCAITE PROFESSOR",
        "authorized_official_telephone_number": "706-721-7453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "GA",
            "license": "026773",
            "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 Sep 6, 2023; 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.