Active NPI
Kids First Pediatric Group of Augusta,Inc.
- Pediatrics Physician
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 056931
- Legal business name
- KIDS FIRST PEDIATRIC GROUP OF AUGUSTA,INC.
- Practice address
- 1215 George C.Wilson CT.
Suite B1
Augusta, GA 30909-5700 - Phone
- (706) 650-0004
- Fax
- (706) 650-5889
- NPI assigned
- Dec 7, 2009
- Last updated
- Dec 7, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carol Dale Thompson-Armant, M.D.
- Title
- Ceo
- Phone
- (706) 650-0004
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 056931 | GA | Primary |
Addresses
Primary practice location
1215 George C.Wilson CT.
Suite B1
Augusta, GA 30909-5700
Mailing address
1215 George C.Wilson CT.
Suite B1
Augusta, GA 30909-5700
Phone (706) 650-0004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 865263766A | Medicaid | GA |
National Provider Directory
National Provider Directory- Tax ID family
- Kids First Pediatric Group of Augusta PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic/Center
- Augusta, GA
- NPI 1487971230
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pediatrics Physician
- Augusta, GA
- NPI 1679577225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1260144000000",
"number": "1700114519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 GEORGE C.WILSON CT.",
"address_2": "SUITE B1",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309095700",
"telephone_number": "706-650-0004",
"fax_number": "706-650-5889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 GEORGE C.WILSON CT.",
"address_2": "SUITE B1",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309095700",
"telephone_number": "706-650-0004",
"fax_number": "706-650-5889"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDS FIRST PEDIATRIC GROUP OF AUGUSTA,INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-07",
"last_updated": "2009-12-07",
"status": "A",
"authorized_official_last_name": "THOMPSON-ARMANT",
"authorized_official_first_name": "CAROL",
"authorized_official_middle_name": "DALE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "706-650-0004",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "GA",
"license": "056931",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "865263766A",
"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 Dec 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.