Organization Active NPI

Jay Newton Bates, Jr., M.D.

  • Surgery Physician
  • Augusta, GA
National Provider Identifier
1770679292
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
048471 Issued in GA
Legal business name
JAY NEWTON BATES, JR., M.D.
Practice address
1430 B Harper Street
Augusta, GA 30901
Phone
(706) 724-5451
Fax
(706) 724-9562
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Authorized official

Name
Jay Newton Bates Jr., M.D.NPI 1588657274
Title
President
Phone
(706) 724-5451

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 048471 GA Primary

Addresses

Primary practice location

1430 B Harper Street
Augusta, GA 30901

Mailing address

1430 B Harper Street
Augusta, GA 30901
Phone (706) 724-5451

Other identifiers 2

IdentifierTypeStateIssuer
GPA820MedicaidSC
00895705AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070919000194 GA Part B Supplier - Clinic/Group Practice 9638263817 Receives reassigned benefits from 1 practitioner
Practice locations: Augusta, GA

National Provider Directory

National Provider Directory

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": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1770679292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 B HARPER STREET",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30901",
            "telephone_number": "706-724-5451",
            "fax_number": "706-724-9562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 B HARPER STREET",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30901",
            "telephone_number": "706-724-5451",
            "fax_number": "706-724-9562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY NEWTON BATES, JR., M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "NEWTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-724-5451",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "GA",
            "license": "048471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GPA820",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00895705A",
            "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 Oct 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.