NPIMap

Organization Active NPI

Pulmonary Allergy & Sleep Center of Augusta, LLC

  • Pulmonary Disease Physician
  • Augusta, GA
National Provider Identifier
1871887513
Registry record updated Aug 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
048366 Issued in GA
Legal business name
PULMONARY ALLERGY & SLEEP CENTER OF AUGUSTA, LLC
Practice address
3630 J Dewey Gray Cir
Augusta, GA 30909-1867
Phone
(706) 855-6130
Fax
(706) 855-6139
NPI assigned
May 29, 2011
Last updated
Aug 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2011

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

Authorized official

Name
Carmel Joseph, M.D.NPI 1245286681
Title
Owner
Phone
(706) 855-6130

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207KA0200X 048731 GA
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X 048366 GA Primary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X 048366 GA

Addresses

Primary practice location

3630 J Dewey Gray Cir
Augusta, GA 30909-1867

Mailing address

3630 J Dewey Gray Cir
Augusta, GA 30909-1867
Phone (706) 855-6130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110816000243 GA Part B Supplier - Clinic/Group Practice 5991974529 Receives reassigned benefits from 3 practitioners
Practice locations: Augusta, GA

National Provider Directory

National Provider Directory

Locations

3630 J Dewey Gray Cir
Augusta, GA 30909
Phone (706) 396-2003

Practitioners & affiliated clinicians

Practitioners 6

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": "1306627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313366400000",
    "number": "1871887513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 J DEWEY GRAY CIR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091867",
            "telephone_number": "706-855-6130",
            "fax_number": "706-855-6139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 J DEWEY GRAY CIR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091867",
            "telephone_number": "706-855-6130",
            "fax_number": "706-855-6139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY ALLERGY & SLEEP CENTER OF AUGUSTA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-29",
        "last_updated": "2011-08-15",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "CARMEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-855-6130",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "GA",
            "license": "048731",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "048366",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "GA",
            "license": "048366",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Aug 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.