Organization Active NPI

Childrens Medical Services

  • Community Health Registered Nurse
  • Augusta, GA
National Provider Identifier
1578649869
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
RN0367436743 Issued in GA
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

Updated by the provider on Jun 12, 2008

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)CodeLicenseStatePrimary
Community Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.