Active NPI
Steven John Solum, P.A.
- Physician Assistant
- Augusta, GA
National Provider Identifier
1891755724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1001
- Practice address
- 3604 Lexington Dr
Augusta, GA 30906-5038 - Phone
- (864) 933-3643
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1001 | SC | Primary |
Addresses
Primary practice location
3604 Lexington Dr
Augusta, GA 30906-5038
Mailing address
3604 Lexington Dr
Augusta, GA 30906-5038
Phone (864) 933-3643
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1001 | SC | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245888000000",
"number": "1891755724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3604 LEXINGTON DR",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309065038",
"telephone_number": "864-933-3643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3604 LEXINGTON DR",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309065038",
"telephone_number": "864-933-3643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLUM",
"first_name": "STEVEN",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2009-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "1001",
"primary": true
}
],
"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 Jun 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.