NPIMap

Organization Active NPI

OBGYN Partners of Augusta, Professional Corporation

  • Obstetrics & Gynecology Physician
  • Augusta, GA
National Provider Identifier
1801825104
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
207V00000X Issued in GA
Legal business name
OBGYN PARTNERS OF AUGUSTA, PROFESSIONAL CORPORATION
Practice address
1348 Walton Way
Suite 4100
Augusta, GA 30901
Phone
(706) 722-1381
Fax
(706) 823-6871
NPI assigned
Jul 1, 2006
Last updated
Jun 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2016

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

Authorized official

Name
Michael Duckworth
Title
Office Administrator
Phone
(706) 722-1381

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 207V00000X GA Primary

Addresses

Primary practice location

1348 Walton Way
Suite 4100
Augusta, GA 30901

Mailing address

1348 Walton Way
Suite 4100
Augusta, GA 30901
Phone (706) 722-1381

Other names 1

  • Augusta Gyn. P.C. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040527000173 GA Part B Supplier - Clinic/Group Practice 1153302914 Receives reassigned benefits from 26 practitioners
Practice locations: Augusta, GA; Evans, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0262704OBGYN Partners of Augusta, Professional Corp1348 Walton Way Ste 4100, Augusta, GA 30901Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Locations

1348 Walton Way
Ste 4100
Augusta, GA 30901
Phone (706) 722-1381

2004 Parkview Dr
Evans, GA 30809
Phone (706) 722-1381

Practitioners & affiliated clinicians

Practitioners 44

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.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1801825104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1348 WALTON WAY",
            "address_2": "SUITE 4100",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30901",
            "telephone_number": "706-722-1381",
            "fax_number": "706-823-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1348 WALTON WAY",
            "address_2": "SUITE 4100",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30901",
            "telephone_number": "706-722-1381",
            "fax_number": "706-823-6871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBGYN PARTNERS OF AUGUSTA, PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "DUCKWORTH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "706-722-1381"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "207V00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Augusta Gyn. P.C.",
            "code": "4",
            "type": "Former Legal Business 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 Jun 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.