Augusta Primary Care Services, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

031307 Issued in GA

Legal business name

AUGUSTA PRIMARY CARE SERVICES, LLC

Practice address

3624 J Dewey Gray Cir
Suite 308
Augusta, GA 30909-6584

Phone

(706) 855-5650

Fax

(706) 863-0821

NPI assigned

Feb 6, 2008

Organization subpart

No

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

Authorized official

Name

Robert Price, MD

Title

Provider

Phone

(706) 855-5650

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1811175474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3624 J DEWEY GRAY CIR",
            "address_2": "SUITE 308",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096584",
            "telephone_number": "706-855-5650",
            "fax_number": "706-863-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3624 J DEWEY GRAY CIR",
            "address_2": "SUITE 308",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096584",
            "telephone_number": "706-855-5650",
            "fax_number": "706-863-0821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA PRIMARY CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "706-855-5650",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "031307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000404555H",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Augusta Podiatry Associates
• Augusta Preventive Cardiology
• Augusta Preventive Cardiology
• Augusta Primary Care Services LLC
• Augusta Primary Care Services, LLC
• Augusta Prosthetics & Orthotics Inc
• Augusta Psychiatry and Therapy Associates, LLC
• Augusta Rehabilitation Associates, P.C.
• Augusta Renal Physicians, P.C.
• Augusta Retina Consultants

• Internal Medicine Physician in Augusta, GA
• Providers in Augusta, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.