Csra Pediatrics

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

052636 Issued in GA

Legal business name

CSRA PEDIATRICS

Practice address

820 Saint Sebastian Way
Suite 1B
Augusta, GA 30901-2643

Phone

(706) 724-7533

Fax

(706) 724-1530

NPI assigned

May 18, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Robyn J Morris

Title

Manager

Phone

(706) 724-7533

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720031230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 SAINT SEBASTIAN WAY",
            "address_2": "SUITE 1B",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012643",
            "telephone_number": "706-724-7533",
            "fax_number": "706-724-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 SAINT SEBASTIAN WAY",
            "address_2": "SUITE 1B",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012643",
            "telephone_number": "706-724-7533",
            "fax_number": "706-724-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSRA PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "706-724-7533",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "GA",
            "license": "054398",
            "primary": false
        },
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "GA",
            "license": "052636",
            "primary": true
        },
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "GA",
            "license": "038178",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Csra Holdings LLC
• Csra Internal Medicine Associates, PC
• Csra Magnolia Chiropractic & Wellness LLC
• Csra Medical Associates
• Csra Neurology,LLC
• Csra Plastic Surgery Associates PC
• Csra Sleep LLC
• Csra Surgical Solutions PC
• Csra Womens Health, LLC
• E Parker H Cudd Sr., DMD

• Legal Medicine in Augusta, GA
• Providers in Augusta, GA by specialty
• Legal Medicine in Georgia

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.