Individual provider Active NPI

Paul M Thaxton, M.D.

  • Obstetrics & Gynecology Physician
  • Evans, GA
National Provider Identifier
1679528442
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
016291 Issued in GA
Practice address
7013 Evans Town Center Blvd
Suite 101
Evans, GA 30809-5117
Phone
(706) 922-4545
Fax
(866) 777-2246
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 016291 GA Primary

Addresses

Primary practice location

7013 Evans Town Center Blvd
Suite 101
Evans, GA 30809-5117

Mailing address

7013 Evans Town Center Blvd
Suite 101
Evans, GA 30809-5117
Phone (706) 922-4545

Other identifiers 1

IdentifierTypeStateIssuer
000184489CMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091102000432 GA Practitioner - Obstetrics/Gynecology 7911937461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical College of Georgia School of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7013 Evans Town Ctr Blvd
Suite 101
Evans, GA 30809-5118
Phone (706) 922-4545

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
016291GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Gynecology Specialists of Augusta CurrentSince Jun 15, 2009 Accepting new patients
Obstetrics and Gynecology Associates of Augusta, PC Obstetrics & Gynecology Current Accepting new patients

Locations

1430 Harper St
Ste A
Augusta, GA 30901
Phone (706) 724-2261

7013 Evans Town Center Blvd
Ste 101
Evans, GA 30809
Phone (706) 922-4545

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295395200000",
    "number": "1679528442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7013 EVANS TOWN CENTER BLVD",
            "address_2": "SUITE 101",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308095117",
            "telephone_number": "706-922-4545",
            "fax_number": "866-777-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7013 EVANS TOWN CENTER BLVD",
            "address_2": "SUITE 101",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308095117",
            "telephone_number": "706-922-4545",
            "fax_number": "866-777-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAXTON",
        "first_name": "PAUL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2011-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "016291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000184489C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

Verify at the official NPI Registry.