Individual provider Active NPI

Cesar Augustus Gumucio, MD

  • Plastic Surgery Physician
  • Athens, GA
National Provider Identifier
1821169442
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
032744 Issued in GA
Practice address
489 N Milledge Ave
Athens, GA 30601-3807
Phone
(706) 613-6650
Fax
(706) 613-6868
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 032744 GA Primary

Addresses

Primary practice location

489 N Milledge Ave
Athens, GA 30601-3807

Mailing address

489 N Milledge Ave
Athens, GA 30601-3807
Phone (706) 613-6650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070612000495 GA Practitioner - Plastic and Reconstructive Surgery 8325146517

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821169442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 N MILLEDGE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306013807",
            "telephone_number": "706-613-6650",
            "fax_number": "706-613-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 N MILLEDGE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306013807",
            "telephone_number": "706-613-6650",
            "fax_number": "706-613-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUMUCIO",
        "first_name": "CESAR",
        "middle_name": "AUGUSTUS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "032744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.