Igor Stojanov, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

052511 Issued in GA

Practice address

3623 J Dewey Gray Cir
Suite 101
Augusta, GA 30909-6511

Phone

(706) 210-2626

Fax

(706) 210-2799

NPI assigned

Dec 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Augusta Physician Services LLC

  • Internal Medicine Physician
  • Augusta, GA
  • NPI 1568547586
  NPD (past)
• Charles G.McClure,M.D.,PC

  • Neurology Physician
  • Augusta, GA
  • NPI 1841472180
  NPD (past)
• Igor Stojanov,MD,PC

  • Neurology Physician
  • Augusta, GA
  • NPI 1881876126
  NPD (past)
• University Surgical Associates, P.C.

  • Surgery Physician
  • Augusta, GA
  • NPI 1669454245
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1821152083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3623 J DEWEY GRAY CIR",
            "address_2": "SUITE 101",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096511",
            "telephone_number": "706-210-2626",
            "fax_number": "706-210-2799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3623 J DEWEY GRAY CIR",
            "address_2": "SUITE 101",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096511",
            "telephone_number": "706-210-2626",
            "fax_number": "706-210-2799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOJANOV",
        "first_name": "IGOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "052511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G52511",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "462916545D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Stinson, MD
• Briana Elizabeth Stirling, MD
• Keiko Stobaeus, PA-C
• John W Stockstill
• Jennifer Lind Stoddard, PHD
• Lovorka Polic Stojanov, M.D.
• Nathan Stoker, M.D.
• Michael Stokes, MD
• Stephanie Stokes, MD
• Alacia Stone

• Neurology Physician in Augusta, GA
• Providers in Augusta, GA by specialty
• Neurology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.