Active NPI
Richard Edward Kilgore, M.D.
- Internal Medicine Physician
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 079239
- Practice address
- 2050 Walton Way
Augusta, GA 30904-2305 - Phone
- (706) 434-1590
- NPI assigned
- Nov 24, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 079239 | GA | Primary |
Addresses
Primary practice location
2050 Walton Way
Augusta, GA 30904-2305
Mailing address
PO Box 1705
Augusta, GA 30903-1705
Phone (706) 774-7263
Other practice location 1
820 Saint Sebastian Way Ste 7C
Augusta, GA 30901-2641
Phone (706) 774-7263
Other practice location 2
135 Rutledge Ave Fl 12
MSC 752
Charleston, SC 29425-8903
Phone (843) 792-4542
Other practice location 3
1350 Walton Way
Augusta, GA 30901-2612
Phone (706) 722-9011
Other practice location 4
135 Rutledge Ave Fl 12
MSC 752
Charleston, SC 29425-8903
Phone (843) 792-4542
Other names 1
- Dr. Richard Edward Kilgore Rodriguez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Other, 2010
- 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
- Trinity Home Health
- Piedmont Augusta Hospital
- University McDuffie County Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 079239 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborhood Improvement Project Inc | Current | Accepting new patients | |
| Neighborhood Improvement Project, Inc | Current | Accepting new patients | |
| Neighborhood Improvement Project, Inc | Past | Accepting new patients | |
| University Critical Care Medicine LLC | Internal Medicine | Past | Accepting new patients |
Locations
2050 Walton Way
Ste 101
Augusta, GA 30904
Phone (706) 434-1590
1350 Walton Way
Fl 3
Augusta, GA 30901
Phone (706) 774-5713
2467 Golden Camp Rd
Augusta, GA 30906
Phone (706) 922-0682
1580 Walton Way
Augusta, GA 30904
Phone (706) 434-1590
1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011
2050 Walton Way
Augusta, GA 30904
Phone (706) 434-1590
Interoperability endpoints
- richard.kilgore@mapbt.eclinicaldirectplus.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Podiatric Medicine Podiatrist
- Evans, GA
- NPI 1124984224
-
- Federally Qualified Health Center (FQHC)
- Evans, GA
- NPI 1740158922
-
- Federally Qualified Health Center (FQHC)
- Augusta, GA
- NPI 1700900867
-
- Federally Qualified Health Center (FQHC)
- Wrens, GA
- NPI 1760815773
-
- Critical Care Medicine (Internal Medicine) Physician
- Augusta, GA
- NPI 1457799983
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Martinez, GA
- NPI 1174991038
-
- General Acute Care Hospital
- Augusta, GA
- NPI 1588665566
-
- General Acute Care Hospital
- Thomson, GA
- NPI 1982600540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708300800000",
"number": "1760812010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1705",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309031705",
"telephone_number": "706-774-7263",
"fax_number": "706-774-7230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 WALTON WAY",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309042305",
"telephone_number": "706-434-1590"
}
],
"practiceLocations": [
{
"address_1": "820 Saint Sebastian Way Ste 7C",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309012641",
"country_code": "US",
"telephone_number": "706-774-7263",
"fax_number": "706-774-7230",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "135 Rutledge Ave Fl 12",
"address_2": "MSC 752",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294258903",
"country_code": "US",
"telephone_number": "843-792-4542",
"fax_number": "843-792-6680",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1350 Walton Way",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309012612",
"country_code": "US",
"telephone_number": "706-722-9011",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "135 Rutledge Ave Fl 12",
"address_2": "MSC 752",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294258903",
"country_code": "US",
"telephone_number": "843-792-4542",
"fax_number": "843-792-6680",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KILGORE",
"first_name": "RICHARD",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-11-24",
"last_updated": "2024-02-19",
"certification_date": "2024-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "079239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RICHARD",
"last_name": "KILGORE RODRIGUEZ",
"middle_name": "EDWARD",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
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 Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.