NPIMap

Individual provider Active NPI

Kepler Austin Davis, M.D.

  • Infectious Disease Physician
  • Augusta, GA
National Provider Identifier
1740357425
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
82636 Issued in GA
Practice address
2050 Walton Way Ste 101
Augusta, GA 30904-4163
Phone
(706) 434-1590
Fax
(706) 434-1595
NPI assigned
Nov 29, 2006
Last updated
Sep 10, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 82636 GA Primary
Infectious Disease Physician 207RI0200X 42178-020 WI

Addresses

Primary practice location

2050 Walton Way Ste 101
Augusta, GA 30904-4163

Mailing address

2050 Walton Way
Augusta, GA 30904-2305
Phone (706) 434-1590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101130001190 GA Practitioner - Infectious DiseasePractitioner - Internal Medicine 8527254721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Ohio State University College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2050 Walton Way
Suite 101
Augusta, GA 30904-4163
Phone (706) 790-4440

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42178-020WIMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Improvement Project, Inc CurrentSince Nov 6, 2019 Accepting new patients
Neighborhood Improvement Project Inc CurrentSince Nov 6, 2019 Accepting new patients
Hospitalist Medicine Physicians of Wisconsin Rapids LTD Past Accepting new patients

Locations

1580 Walton Way
Augusta, GA 30904
Phone (706) 434-1590

2050 Walton Way
Augusta, GA 30904
Phone (706) 434-1590

2050 Walton Way
Ste 101
Augusta, GA 30904
Phone (706) 434-1590

2467 Golden Camp Rd
Augusta, GA 30906
Phone (706) 922-0682

501 E Broad St
Wrens, GA 30833
Phone (706) 547-2559

Interoperability endpoints

  • Direct secure messaging: kepler.davis@mapbt.eclinicaldirectplus.com

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 4

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1740357425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 WALTON WAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309042305",
            "telephone_number": "706-434-1590",
            "fax_number": "706-434-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 WALTON WAY STE 101",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309044163",
            "telephone_number": "706-434-1590",
            "fax_number": "706-434-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KEPLER",
        "middle_name": "AUSTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "GA",
            "license": "82636",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "WI",
            "license": "42178-020",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.