Augusta Podiatry Associates

Primary specialty

PodiatristTaxonomy code 213E00000X

License

POD000710 Issued in GA

Legal business name

AUGUSTA PODIATRY ASSOCIATES

Practice address

2030 Walton Way
Augusta, GA 30904-4120

Phone

(706) 738-1925

Fax

(706) 738-0705

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Gloria Rosier Crewsonberry

Title

Billing Manager

Phone

(706) 738-1925

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Henry Greene Bryant III, DPM

  • Podiatrist
  • Augusta, GA
  • NPI 1003871013
  Medicare reassignment NPD

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1679616072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 WALTON WAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309044120",
            "telephone_number": "706-738-1925",
            "fax_number": "706-738-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 WALTON WAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309044120",
            "telephone_number": "706-738-1925",
            "fax_number": "706-738-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA PODIATRY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "CREWSONBERRY",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "ROSIER",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "706-738-1925",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD000710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI4591",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Augusta Pediatric Associates, P.C.
• Augusta Pediatric Clinic, PC
• Augusta Physiatry
• Augusta Physician Services LLC
• Augusta Physicians Group, LLC
• Augusta Preventive Cardiology
• Augusta Preventive Cardiology
• Augusta Primary Care Services LLC
• Augusta Primary Care Services, LLC
• Augusta Primary Care Services, LLC

• Podiatrist in Augusta, GA
• Providers in Augusta, GA by specialty
• Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.