Active NPI
Childrens Medical Services
- Community Health Registered Nurse
- Augusta, GA
National Provider Identifier
1578649869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- RN0367436743
- Legal business name
- CHILDRENS MEDICAL SERVICES
- Practice address
- 950 Laney Walker Blvd
Augusta, GA 30901-2960 - Phone
- (706) 721-5810
- NPI assigned
- Oct 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Carol A Hendrickson, R.N., BSN
- Title
- Public Heath Nurse Specialist
- Phone
- (706) 721-5810
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | RN0367436743 | GA | Primary |
Addresses
Primary practice location
950 Laney Walker Blvd
Augusta, GA 30901-2960
Mailing address
161 Stone Mill Dr
Martinez, GA 30907-1659
Phone (706) 863-8136
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161993600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213228800000",
"number": "1578649869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 STONE MILL DR",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "309071659",
"telephone_number": "706-863-8136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 LANEY WALKER BLVD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309012960",
"telephone_number": "706-721-5810"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDRENS MEDICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-28",
"last_updated": "2008-06-12",
"status": "A",
"authorized_official_last_name": "HENDRICKSON",
"authorized_official_first_name": "CAROL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PUBLIC HEATH NURSE SPECIALIST",
"authorized_official_telephone_number": "706-721-5810",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "R.N., BSN"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Community Health",
"state": "GA",
"license": "RN0367436743",
"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 Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.