Individual provider Active NPI

Donald Loebl Jr., MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Augusta, GA
National Provider Identifier
1679787212
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
62136 Issued in GA
Practice address
1350 Walton Way
3Rd FL Critical Care Medicine
Augusta, GA 30901-2612
Phone
(706) 774-5713
Fax
(706) 774-5789
NPI assigned
May 10, 2007
Last updated
Jul 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 62136 GA Primary
Pulmonary Disease Physician 207RP1001X 26397 GA

Addresses

Primary practice location

1350 Walton Way
3Rd FL Critical Care Medicine
Augusta, GA 30901-2612

Mailing address

1350 Walton Way
3Rd FL Critical Care Medicine
Augusta, GA 30901-2612
Phone (706) 774-5713

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
I20090928000560 GA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 3274689591 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Medical College of Georgia School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Providers LLCGroup PAC ID 9830082825, 526 clinicians
Piedmont Specialty Hospital Billing LLCGroup PAC ID 4183986490, 252 clinicians

Practice addresses (Care Compare)

1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Phone (678) 604-1000

350 Hospital Dr
Macon, GA 31217-3838
Phone (478) 765-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62136GAMDCritical Care Medicine (Internal Medicine) Physician
26397GAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Umg Infectious Disease LLC CurrentSince Sep 13, 2015 Accepting new patients
University Critical Care Medicine LLC Critical Care Medicine CurrentSince Aug 1, 2013 Accepting new patients
Piedmont Providers LLC CurrentSince Jun 1, 2025 Accepting new patients
Piedmont Specialty Hospital Billing LLC CurrentSince Sep 1, 2023 Accepting new patients

Locations

1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210

1301 Broad St
Augusta, GA 30901
Phone (706) 396-7552

1350 Walton Way
Fl 3
Augusta, GA 30901
Phone (706) 774-5713

820 Saint Sebastian Way
Ste 3A
Augusta, GA 30901
Phone (614) 293-3873

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

Organizations & group practices 4

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

Hospital & facility affiliations 3

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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1679787212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 WALTON WAY",
            "address_2": "3RD FL CRITICAL CARE MEDICINE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012612",
            "telephone_number": "706-774-5713",
            "fax_number": "706-774-5789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 WALTON WAY",
            "address_2": "3RD FL CRITICAL CARE MEDICINE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012612",
            "telephone_number": "706-774-5713",
            "fax_number": "706-774-5789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOEBL",
        "first_name": "DONALD",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "GA",
            "license": "62136",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "26397",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.