Active NPI
Mingyu Li, MD
- Neurology Physician
- Augusta, GA
National Provider Identifier
1609541846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 13586
- Practice address
- Augusta University Medical Center 1120 15TH St
Augusta, GA 30912-0001 - Phone
- (626) 689-6349
- NPI assigned
- Aug 10, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 13586 | GA | Primary |
Addresses
Primary practice location
Augusta University Medical Center 1120 15TH St
Augusta, GA 30912-0001
Mailing address
1120 15TH St Augusta
Augusta, GA 30912-0221
Phone (626) 689-6349
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13586 | GA | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634428800000",
"number": "1609541846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 15TH ST AUGUSTA",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309120221",
"telephone_number": "626-689-6349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AUGUSTA UNIVERSITY MEDICAL CENTER 1120 15TH ST",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309120001",
"telephone_number": "626-689-6349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "MINGYU",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-10",
"last_updated": "2021-10-17",
"certification_date": "2021-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "GA",
"license": "13586",
"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 Oct 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.