NPIMap

Organization Active NPI

Charles G.McClure,M.D.,PC

  • Neurology Physician
  • Augusta, GA
National Provider Identifier
1841472180
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
017630 Issued in GA
Legal business name
CHARLES G.MCCLURE,M.D.,PC
Practice address
1303 Dantignac St
Suite 2800
Augusta, GA 30901-2775
Phone
(706) 722-8817
Fax
(706) 722-3315
NPI assigned
Nov 28, 2007
Last updated
Nov 28, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Authorized official

Name
Ms. Sandra S Whitman
Title
Office Manager
Phone
(706) 722-8817

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 017630 GA Primary

Addresses

Primary practice location

1303 Dantignac St
Suite 2800
Augusta, GA 30901-2775

Mailing address

1303 Dantignac St
Suite 2800
Augusta, GA 30901-2775
Phone (706) 722-8817

Other identifiers 1

IdentifierTypeStateIssuer
906737MedicaidSC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1841472180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 DANTIGNAC ST",
            "address_2": "SUITE 2800",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012775",
            "telephone_number": "706-722-8817",
            "fax_number": "706-722-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 DANTIGNAC ST",
            "address_2": "SUITE 2800",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012775",
            "telephone_number": "706-722-8817",
            "fax_number": "706-722-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES G.MCCLURE,M.D.,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "WHITMAN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "706-722-8817",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "017630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "906737",
            "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 Nov 28, 2007; 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.