Augusta Preventive Cardiology

Primary specialty

SpecialistTaxonomy code 174400000X

License

011846 Issued in GA

Legal business name

AUGUSTA PREVENTIVE CARDIOLOGY

Practice address

1501 Anthony Rd
Augusta, GA 30904-4821

Phone

(706) 731-9119

Fax

(706) 731-9800

NPI assigned

Jul 13, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Barbara Sharpe

Title

Office Manager

Phone

(706) 731-9119

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841215720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 ANTHONY RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309044821",
            "telephone_number": "706-731-9119",
            "fax_number": "706-731-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 ANTHONY RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309044821",
            "telephone_number": "706-731-9119",
            "fax_number": "706-731-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA PREVENTIVE CARDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHARPE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "706-731-9119"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "011846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00098788C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "904301",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Augusta Pediatric Clinic, PC
• Augusta Physiatry
• Augusta Physician Services LLC
• Augusta Physicians Group, LLC
• Augusta Podiatry Associates
• Augusta Preventive Cardiology
• Augusta Primary Care Services LLC
• Augusta Primary Care Services, LLC (Augusta Health Spec-Urology)
• Augusta Primary Care Services, LLC
• Augusta Prosthetics & Orthotics Inc (Augusta Orthotics & Prosthetics, Inc.)

• Specialist in Augusta, GA
• Providers in Augusta, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.