Active NPI
Pamela Olivia Dugar
- Intermediate Emergency Medical Technician
- Augusta, GA
National Provider Identifier
1689101479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intermediate Emergency Medical Technician
- License
- 121-01
- Practice address
- 3117 Deans Bridge Rd
Augusta, GA 30906-3379 - Phone
- (706) 821-1155
- Fax
- (706) 821-2907
- NPI assigned
- May 11, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intermediate Emergency Medical Technician | 146M00000X | 121-01 | GA | Primary |
Addresses
Primary practice location
3117 Deans Bridge Rd
Augusta, GA 30906-3379
Mailing address
3117 Deans Bridge Rd
Augusta, GA 30906-3379
Phone (706) 821-1155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121-01 | GA | MD | Intermediate Emergency Medical Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494460800000",
"number": "1689101479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3117 DEANS BRIDGE RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309063379",
"telephone_number": "706-821-1155",
"fax_number": "706-821-2907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3117 DEANS BRIDGE RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309063379",
"telephone_number": "706-821-1155",
"fax_number": "706-821-2907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUGAR",
"first_name": "PAMELA",
"middle_name": "OLIVIA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2017-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "146M00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Intermediate",
"state": "GA",
"license": "121-01",
"primary": true
}
],
"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 May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.