NPIMap

Organization Active NPI

Augusta Medical Care LLC

  • Internal Medicine Physician
  • Augusta, GA
National Provider Identifier
1619209905
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
AUGUSTA MEDICAL CARE LLC
Practice address
3642 Wheeler Rd
Augusta, GA 30909-6519
Phone
(706) 496-2573
Fax
(706) 496-2637
NPI assigned
Feb 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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

Authorized official

Name
Dr. Kashif Naseem, MDNPI 1699762054
Title
President
Phone
(706) 496-2573

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 58109 GA
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 58109 GA

Addresses

Primary practice location

3642 Wheeler Rd
Augusta, GA 30909-6519

Mailing address

3642 Wheeler Rd
Augusta, GA 30909-6519
Phone (706) 496-2573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100311000381 GA Part B Supplier - Clinic/Group Practice 8224173505 Receives reassigned benefits from 10 practitioners
Practice locations: Augusta, GA
O20100714000122 SC Part B Supplier - Clinic/Group Practice 8224173505 Receives reassigned benefits from 1 practitioner
Practice locations: North Augusta, SC

National Provider Directory

National Provider Directory

Locations

3642 Wheeler Rd
Ste 100
Augusta, GA 30909

Practitioners & affiliated clinicians

Practitioners 11

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": "1265846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1619209905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3642 WHEELER RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096519",
            "telephone_number": "706-496-2573",
            "fax_number": "706-496-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3642 WHEELER RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096519",
            "telephone_number": "706-496-2573",
            "fax_number": "706-496-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-11",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "NASEEM",
        "authorized_official_first_name": "KASHIF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-496-2573",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "58109",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "GA",
            "license": "58109",
            "primary": false
        }
    ],
    "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 Jul 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.