NPIMap

Organization Active NPI

General & Vascular Surgery Associates of Augusta, PC

  • Surgery Physician
  • Augusta, GA
National Provider Identifier
1578745089
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
033948 Issued in GA
Legal business name
GENERAL & VASCULAR SURGERY ASSOCIATES OF AUGUSTA, PC
Practice address
1207 W Medical Park Rd
Augusta, GA 30909-4504
Phone
(706) 854-1511
NPI assigned
Nov 27, 2007
Last updated
Nov 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Authorized official

Name
Kevin Cochran, MDNPI 1881654853
Title
Ceo
Phone
(706) 854-1511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 033948 GA Primary

Addresses

Primary practice location

1207 W Medical Park Rd
Augusta, GA 30909-4504

Mailing address

1207 W Medical Park Rd
Augusta, GA 30909-4504
Phone (706) 854-1511

National Provider Directory

National Provider Directory

Locations

1207 W Medical Park Rd
Augusta, GA 30909
Phone (706) 854-1511

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1578745089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 W MEDICAL PARK RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309094504",
            "telephone_number": "706-854-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 W MEDICAL PARK RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309094504",
            "telephone_number": "706-854-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL & VASCULAR SURGERY ASSOCIATES OF AUGUSTA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "COCHRAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-854-1511",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "033948",
            "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 Nov 27, 2007; 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.