Augusta OBGYN PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

032198 Issued in GA

Legal business name

AUGUSTA OBGYN PC

Practice address

1111 Garredd Blvd
Suite B
Augusta, GA 30909-6674

Phone

(706) 922-0101

Fax

(706) 364-0056

NPI assigned

Jan 26, 2007

Last updated

Sep 12, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Peter D Grossman, M.D.NPI 1376631663

Title

President

Phone

(706) 922-0101

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter Daniel Grossman, M.D

  • Obstetrics & Gynecology Physician
  • Augusta, GA
  • NPI 1376631663
  Authorized official Same address or phone
• Maya Fields Ingram, M.D.

  • Pediatrics Physician
  • Augusta, GA
  • NPI 1518221464
  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1780730358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 GARREDD BLVD",
            "address_2": "SUITE B",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096674",
            "telephone_number": "706-922-0101",
            "fax_number": "706-364-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 GARREDD BLVD",
            "address_2": "SUITE B",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096674",
            "telephone_number": "706-922-0101",
            "fax_number": "706-364-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA OBGYN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "GROSSMAN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-922-0101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "032198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Augusta MD, P.C.
• Augusta Medical Care LLC
• Augusta Medical Systems, LLC
• Augusta Nephrology and Internal Medicine Associates, PC
• Augusta Neuroscience PC (Augusta Back)
• Augusta Obstetrics and Gynecology Specialists, LLC
• Augusta Oncology Associates PC (Ao Multispeciality)
• Augusta Oncology Associates, P.C. (Plastic Surgery Essentials)
• Augusta Oncology Associates, P.C.
• Augusta Oncology Associates, PC (The Essentials Center)

• 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 Sep 12, 2007; 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.