Augusta Cardiology Clinic, PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

AUGUSTA CARDIOLOGY CLINIC, PC

Practice address

818 Saint Sebastian Way Ste 311
Augusta, GA 30901-2653

Phone

(706) 724-3473

Fax

(706) 724-3493

NPI assigned

Nov 20, 2006

Last updated

Feb 11, 2008By 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

Dr. David M Clark II, MDNPI 1225010754

Title

Officer

Phone

(706) 724-3473

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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.

• David M Clark, MD

  • Clinical Cardiac Electrophysiology Physician
  • Augusta, GA
  • NPI 1225010754
  Authorized official Same address or phone
• Gordon Leslie Walters, MD

  • Interventional Cardiology Physician
  • Augusta, GA
  • NPI 1255313789
  NPD

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1861566838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 SAINT SEBASTIAN WAY STE 311",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012653",
            "telephone_number": "706-724-3473",
            "fax_number": "706-724-3493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 SAINT SEBASTIAN WAY STE 311",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012653",
            "telephone_number": "706-724-3473",
            "fax_number": "706-724-3493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA CARDIOLOGY CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "706-724-3473",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GPA513",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Augusta Area Psychiatric Associates (Brightmore Outpatient Services)
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• Augusta Associates Int Med&RH
• Augusta Associates of Endodontics (Oconee Associates of Endodontics)
• Augusta Cardiac and Thoracic Surgery PC
• Augusta Center for Foot and Ankle Surgery
• Augusta Center for Optimal Health
• Augusta Center for Psychological Services, PC
• Augusta Centre for Dermatology & Skin Renewal LLC
• Augusta Community Services Inc (Friendship Community Center)

• Cardiovascular Disease Physician in Augusta, GA
• Providers in Augusta, GA by specialty
• Cardiovascular Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.