Individual provider Active NPI

Richard Edward Kilgore, M.D.

  • Internal Medicine Physician
  • Augusta, GA
National Provider Identifier
1760812010
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
079239 Issued in GA
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

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171218000551 GA Practitioner - Infectious Disease 7214247931 Reassigns benefits to 1 organization

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
079239GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Improvement Project Inc CurrentSince May 1, 2023 Accepting new patients
Neighborhood Improvement Project, Inc CurrentSince May 1, 2023 Accepting new patients
Neighborhood Improvement Project, Inc Past Accepting new patients
University Critical Care Medicine LLC Internal Medicine PastSince Aug 1, 2013 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.