Individual provider Active NPI

Asa Daniel Duggan Jr., M.D.

  • Surgery Physician
  • Augusta, GA
National Provider Identifier
1891793253
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
020691 Issued in GA
Practice address
2258 Wrightsboro Rd
Augusta, GA 30904-4887
Phone
(706) 481-7899
Fax
(706) 481-7898
NPI assigned
Jul 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 020691 GA Primary

Addresses

Primary practice location

2258 Wrightsboro Rd
Augusta, GA 30904-4887

Mailing address

PO Box 31258
Augusta, GA 30903-3058
Phone (706) 854-6938

Other practice location 1

1350 Walton Way
Augusta, GA 30901-2612
Phone (706) 774-7242

Other practice location 2

2021 Scott Rd
Augusta, GA 30906-2539
Phone (706) 793-1057

Other practice location 3

1227 W Wheeler Pkwy
Augusta, GA 30909-1899
Phone (706) 863-1188

Other practice location 4

4275 Owens Rd
Evans, GA 30809-3066
Phone (706) 868-9800

Other practice location 5

561 University Dr
Evans, GA 30809-3092
Phone (706) 863-7514

Other identifiers 2

IdentifierTypeStateIssuer
G20691MedicaidSC
000263898CMedicaidGA

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University Surgical Associates, P.C. Surgery Current Accepting new patients
Charles G.McClure,M.D.,PC Past Accepting new patients

Locations

818 Saint Sebastian Way
Ste 408
Augusta, GA 30901
Phone (706) 722-2334

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1891793253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31258",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309033058",
            "telephone_number": "706-854-6938",
            "fax_number": "706-774-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2258 WRIGHTSBORO RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309044887",
            "telephone_number": "706-481-7899",
            "fax_number": "706-481-7898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 Walton Way",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309012612",
            "country_code": "US",
            "telephone_number": "706-774-7242",
            "fax_number": "706-774-7243",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2021 Scott Rd",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309062539",
            "country_code": "US",
            "telephone_number": "706-793-1057",
            "fax_number": "706-790-0786",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1227 W Wheeler Pkwy",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309091899",
            "country_code": "US",
            "telephone_number": "706-863-1188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4275 Owens Rd",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308093066",
            "country_code": "US",
            "telephone_number": "706-868-9800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "561 University Dr",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308093092",
            "country_code": "US",
            "telephone_number": "706-863-7514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUGGAN",
        "first_name": "ASA",
        "middle_name": "DANIEL",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "020691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G20691",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000263898C",
            "state": "GA"
        }
    ],
    "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 Mar 17, 2018; 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.