NPIMap

Organization Active NPI

Igor Stojanov,MD,PC

  • Neurology Physician
  • Augusta, GA
National Provider Identifier
1881876126
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
052511 Issued in GA
Legal business name
IGOR STOJANOV,MD,PC
Practice address
3623 J Dewey Gray Cir
Suite 430
Augusta, GA 30909-6511
Phone
(706) 210-2626
Fax
(706) 210-2799
NPI assigned
Nov 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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

Authorized official

Name
Cindy Folger
Title
Practice Manager
Phone
(706) 210-2626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 052511 GA Primary

Addresses

Primary practice location

3623 J Dewey Gray Cir
Suite 430
Augusta, GA 30909-6511

Mailing address

3623 J Dewey Gray Cir
Suite 430
Augusta, GA 30909-6511
Phone (706) 210-2626

Other identifiers 3

IdentifierTypeStateIssuer
462916545AMedicaidGA
13BDDRHOtherGAMEDICARE ID#
G52511MedicaidSC

National Provider Directory

National Provider Directory

Locations

2258 Wrightsboro Rd
Ste 430
Augusta, GA 30904
Phone (706) 434-0130

3623 J Dewey Gray Cir
Ste 430
Augusta, GA 30909
Phone (706) 210-2626

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1413936000000",
    "number": "1881876126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3623 J DEWEY GRAY CIR",
            "address_2": "SUITE 430",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096511",
            "telephone_number": "706-210-2626",
            "fax_number": "706-210-2799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3623 J DEWEY GRAY CIR",
            "address_2": "SUITE 430",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096511",
            "telephone_number": "706-210-2626",
            "fax_number": "706-210-2799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGOR STOJANOV,MD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "FOLGER",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "706-210-2626"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "052511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "462916545A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID#",
            "identifier": "13BDDRH",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G52511",
            "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 Oct 22, 2014; 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.