Organization Active NPI

William E Lavigne MD PC

  • Obstetrics & Gynecology Physician
  • Augusta, GA
National Provider Identifier
1760445340
Registry record updated Mar 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
02023L Issued in GA
Legal business name
WILLIAM E LAVIGNE MD PC
Practice address
2100 Central Ave
Ste 2B
Augusta, GA 30904
Phone
(706) 737-5939
Fax
(706) 737-6023
NPI assigned
Apr 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2014

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

Authorized official

Name
William Lavigne, MD
Title
Owner
Phone
(706) 737-5939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 02023L GA Primary

Addresses

Primary practice location

2100 Central Ave
Ste 2B
Augusta, GA 30904

Mailing address

2100 Central Ave
Ste 2B
Augusta, GA 30904
Phone (706) 737-5939

Other identifiers 3

IdentifierTypeStateIssuer
G20231MedicaidSC
000258728CMedicaidGA
027816OtherGABCBS

National Provider Directory

National Provider Directory

Locations

2100 Central Ave
Ste 2B
Augusta, GA 30904
Phone (706) 737-5939

2100 Central Ave
Ste 2
Augusta, GA 30904
Phone (706) 737-5939

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395360000000",
    "number": "1760445340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 CENTRAL AVE",
            "address_2": "STE 2B",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30904",
            "telephone_number": "706-737-5939",
            "fax_number": "706-737-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 CENTRAL AVE",
            "address_2": "STE 2B",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30904",
            "telephone_number": "706-737-5939",
            "fax_number": "706-737-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM E LAVIGNE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2014-03-21",
        "status": "A",
        "authorized_official_last_name": "LAVIGNE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-737-5939",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "02023L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G20231",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000258728C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "027816",
            "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 Mar 21, 2014; 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.