Organization Active NPI

Augusta Gastrointestinal Specialists Inc

  • Gastroenterology Physician
  • Augusta, GA
National Provider Identifier
1689707432
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
048164 Issued in GA
Legal business name
AUGUSTA GASTROINTESTINAL SPECIALISTS INC
Practice address
820 Saint Sebastian Way
Suite 2 D
Augusta, GA 30901-2643
Phone
(706) 722-1461
Fax
(706) 722-2767
NPI assigned
Mar 13, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ronald Brown Sr., M.D.
Title
Owner, Ceo
Phone
(706) 722-1461

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X G025517 GA
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X 048164 GA Primary

Addresses

Primary practice location

820 Saint Sebastian Way
Suite 2 D
Augusta, GA 30901-2643

Mailing address

820 Saint Sebastian Way
Suite 2 D
Augusta, GA 30901-2643
Phone (706) 722-1461

Other identifiers 8

IdentifierTypeStateIssuer
G025517OtherGULICENSE
1245277250OtherGANPI
GRP4596OtherGAMEDICARE GROUP
GRP4596OtherGUMEDICARE GROUP
00918013AMedicaidGA
00283654BMedicaidGA
048164OtherGULICENSE
1316984347OtherGANPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040607000462 GA Part B Supplier - Clinic/Group Practice 7012999675 Receives reassigned benefits from 2 practitioners
Practice locations: Augusta, GA

National Provider Directory

National Provider Directory

Locations

820 Saint Sebastian Way
Ste 2D
Augusta, GA 30901
Phone (706) 722-1461

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10052005
  • Direct secure messaging: ronaldbrown@agsga.allscriptsdirect.net
  • Direct secure messaging: ronaldbrownsr@agsga.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689707432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 SAINT SEBASTIAN WAY",
            "address_2": "SUITE 2 D",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012643",
            "telephone_number": "706-722-1461",
            "fax_number": "706-722-2767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 SAINT SEBASTIAN WAY",
            "address_2": "SUITE 2 D",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012643",
            "telephone_number": "706-722-1461",
            "fax_number": "706-722-2767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA GASTROINTESTINAL SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "706-722-1461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "G025517",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "048164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "G025517",
            "state": "GU"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1245277250",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "GRP4596",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "GRP4596",
            "state": "GU"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00918013A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00283654B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "048164",
            "state": "GU"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1316984347",
            "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 Aug 22, 2020; 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.