Theresa L Christie, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

042543 Issued in GA

Practice address

1115 Garredd Blvd
Augusta, GA 30909-6758

Phone

(706) 922-4620

Fax

(706) 922-4627

NPI assigned

Sep 22, 2005

Last updated

Feb 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: tchris03@yourcarecommunity.org

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1760478168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2467 GOLDEN CAMP RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309065515",
            "telephone_number": "706-790-4440",
            "fax_number": "706-790-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 GARREDD BLVD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096758",
            "telephone_number": "706-922-4620",
            "fax_number": "706-922-4627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2258 Wrightsboro Rd",
            "address_2": "SUITE 300",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309044887",
            "country_code": "US",
            "telephone_number": "706-737-3948",
            "fax_number": "706-737-4305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTIE",
        "first_name": "THERESA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-22",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "042543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00719595A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "G42543",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christ Community Health Services Augusta, Inc
• Christ Community Health Services Augusta, Inc.
• Christ Community Health Services Augusta, Inc.
• Deirdre Christenberry, M.D.
• Constance Alexandria Christian, DO
• Kala Allison Christopherson, NP
• Mark Chua, FNP
• Leah Chun, PHARMD
• Daniel Philip Chung, MD
• Lauren Mihyun Chung, APRN, FNP-BC

• Obstetrics & Gynecology Physician in Augusta, GA
• Providers in Augusta, GA by specialty
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.