Individual provider Active NPI

Connor Jordan Biskamp, MD

  • Obstetrics & Gynecology Physician
  • Augusta, GA
National Provider Identifier
1831553924
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
85904 Issued in GA
Practice address
Augusta University 1120 15TH Street
Augusta, GA 30912-3901
Phone
(210) 567-4953
NPI assigned
Apr 5, 2016
Last updated
Aug 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 85904 GA Primary

Addresses

Primary practice location

Augusta University 1120 15TH Street
Augusta, GA 30912-3901

Mailing address

1120 15TH St # BB-7513
Augusta, GA 30912-8266
Phone (706) 721-2542

Other identifiers 2

IdentifierTypeStateIssuer
85904OtherGAPHYSICIAN LICENSE
FB9364910OtherDEA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200706001197 GA Practitioner - Obstetrics/Gynecology 4587957105 Reassigns benefits to 1 organization
I20231103001169 CO Practitioner - Obstetrics/Gynecology 4587957105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Texas Tech University Health Science Center School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3 Superior Dr
Suite 400
Superior, CO 80027-8656
Phone (303) 673-1440

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
85904GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC Obstetrics & Gynecology Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Sep 20, 2023 Accepting new patients
Au Medical Associates Inc CurrentSince Jul 1, 2020 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Sep 20, 2023 Accepting new patients
Au Medical Associates Inc CurrentSince Jul 1, 2020 Accepting new patients
Good Samaritan Medical Center, LLC Past Accepting new patients

Locations

500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021

300 Exempla Cir
Ste 470
Lafayette, CO 80026
Phone (303) 665-6016

3 Superior Dr
Ste 400
Superior, CO 80027
Phone (303) 673-1440

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

1120 15th St
#7513
Augusta, GA 30912
Phone (706) 721-2542

1120 15th St
Ste BI1056
Augusta, GA 30912
Phone (706) 721-2785

417 Lewiston Rd
Ste 5
Grovetown, GA 30813

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1831553924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 15TH ST # BB-7513",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309128266",
            "telephone_number": "706-721-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AUGUSTA UNIVERSITY 1120 15TH STREET",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309123901",
            "telephone_number": "210-567-4953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISKAMP",
        "first_name": "CONNOR",
        "middle_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-05",
        "last_updated": "2023-08-07",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "85904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "85904",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEA",
            "identifier": "FB9364910",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.