Active NPI
Summerville Women'S Medical Group
- Gynecology Physician
- Augusta, GA
National Provider Identifier
1831241660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- Legal business name
- SUMMERVILLE WOMEN'S MEDICAL GROUP
- Practice address
- 2300 Wrightsboro Rd
Augusta, GA 30904-6220 - Phone
- (706) 737-3948
- Fax
- (706) 737-4035
- NPI assigned
- Jan 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Cecelia T Flanders, CMC
- Title
- Insurance Admin
- Phone
- (706) 737-3948
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | GA | Primary |
Addresses
Primary practice location
2300 Wrightsboro Rd
Augusta, GA 30904-6220
Mailing address
2300 Wrightsboro Rd
Augusta, GA 30904-6220
Phone (706) 737-3948
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GPA647 | Medicaid | SC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Milford, CT
- NPI 1861553695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1354838400000",
"number": "1831241660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 WRIGHTSBORO RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309046220",
"telephone_number": "706-737-3948",
"fax_number": "706-737-4035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 WRIGHTSBORO RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309046220",
"telephone_number": "706-737-3948",
"fax_number": "706-737-4035"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMERVILLE WOMEN'S MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-18",
"last_updated": "2012-12-07",
"status": "A",
"authorized_official_last_name": "FLANDERS",
"authorized_official_first_name": "CECELIA",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "INSURANCE ADMIN",
"authorized_official_telephone_number": "706-737-3948",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "CMC"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GPA647",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
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 Dec 7, 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.