Active NPI
Jacques R Pye, MD
- Emergency Medicine Physician
- Fort Gordon, GA
National Provider Identifier
1770524134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 026919
- Practice address
- 300 W Hospital Rd, Eisenhower Army Medical Center
Attn Credentials
Fort Gordon, GA 30905-5650 - Phone
- (706) 787-2264
- Fax
- (706) 787-8176
- NPI assigned
- Jun 9, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 026919 | GA | Primary |
Addresses
Primary practice location
300 W Hospital Rd, Eisenhower Army Medical Center
Attn Credentials
Fort Gordon, GA 30905-5650
Mailing address
2619 Dozier Rd
Appling, GA 30802-1802
Phone (706) 832-4344
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000483029G | Medicaid | GA | |
| 000483029F | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026919 | GA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inphynet Primary Care Physicians Southeast PC | Emergency Medicine | Past | Accepting new patients |
| Augusta Hospital LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Augusta, GA
- NPI 1083616213
-
- Emergency Medicine Physician
- Columbus, GA
- NPI 1770521460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461888000000",
"number": "1770524134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2619 DOZIER RD",
"city": "APPLING",
"state": "GA",
"postal_code": "308021802",
"telephone_number": "706-832-4344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W HOSPITAL RD, EISENHOWER ARMY MEDICAL CENTER",
"address_2": "ATTN CREDENTIALS",
"city": "FORT GORDON",
"state": "GA",
"postal_code": "309055650",
"telephone_number": "706-787-2264",
"fax_number": "706-787-8176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PYE",
"first_name": "JACQUES",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2016-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "026919",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000483029G",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000483029F",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Gordon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.