Organization Active NPI

Lori Schwam, M.D., LLC

  • Child & Adolescent Psychiatry Physician
  • Augusta, GA
National Provider Identifier
1659539328
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
LORI SCHWAM, M.D., LLC
Practice address
4424 Columbia Rd
Suite B
Augusta, GA 30907-4565
Phone
(706) 993-3187
Fax
(706) 210-9308
NPI assigned
May 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
Lori Schwam, M.D.NPI 1376528836
Title
Director
Phone
(706) 836-9379

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0804X Primary

Addresses

Primary practice location

4424 Columbia Rd
Suite B
Augusta, GA 30907-4565

Mailing address

PO Box 211957
Augusta, GA 30917-1957
Phone (706) 836-9379

Other identifiers 1

IdentifierTypeStateIssuer
239596957AMedicaidGA

National Provider Directory

National Provider Directory

Locations

4424 Columbia Rd
Ste B
Martinez, GA 30907
Phone (706) 210-3435

Practitioners & affiliated clinicians

Practitioners 1

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": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1659539328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211957",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309171957",
            "telephone_number": "706-836-9379",
            "fax_number": "706-228-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4424 COLUMBIA RD",
            "address_2": "SUITE B",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309074565",
            "telephone_number": "706-993-3187",
            "fax_number": "706-210-9308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORI SCHWAM, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "SCHWAM",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "706-836-9379",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "239596957A",
            "state": "GA"
        }
    ],
    "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 May 29, 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.