Organization Active NPI

Summerville Women'S Medical Group

  • Gynecology Physician
  • Augusta, GA
National Provider Identifier
1831241660
Registry record updated Dec 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
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

Updated by the provider on Dec 7, 2012

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)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
GPA647MedicaidSC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.