NPIMap

Organization Active NPI

Medical College of Georgia

  • Critical Access Hospital
  • Augusta, GA
National Provider Identifier
1609078047
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
4804 Issued in GA
Legal business name
MEDICAL COLLEGE OF GEORGIA
Practice address
1120 15TH St # Baa-5407
Augusta, GA 30912-0004
Phone
(706) 721-2505
NPI assigned
Jun 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Stephanie Farrow, PA-C
Title
PA-C
Phone
(706) 721-2505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 4804 GA Primary

Addresses

Primary practice location

1120 15TH St # Baa-5407
Augusta, GA 30912-0004

Mailing address

1120 15TH St # Baa-5407
Augusta, GA 30912-0004

National Provider Directory

National Provider Directory
Tax ID family
MCG Health Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1120 15th St
#5407
Augusta, GA 30912
Phone (706) 721-2505

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": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609078047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 15TH ST # BAA-5407",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 15TH ST # BAA-5407",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120004",
            "telephone_number": "706-721-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL COLLEGE OF GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FARROW",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PA-C",
        "authorized_official_telephone_number": "706-721-2505",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "GA",
            "license": "4804",
            "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 Aug 22, 2020; 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.