NPIMap

Organization Active NPI

Women'S Health of Augusta, P.C.

  • Obstetrics & Gynecology Physician
  • Augusta, GA
National Provider Identifier
1902875966
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
WOMEN'S HEALTH OF AUGUSTA, P.C.
Practice address
1303 Dantignac St
Suite 2500
Augusta, GA 30901-2775
Phone
(706) 733-4427
Fax
(706) 737-0215
NPI assigned
Mar 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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

Authorized official

Name
Denise Willard
Title
Asst Manager/Billing Manager
Phone
(706) 733-4427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

1303 Dantignac St
Suite 2500
Augusta, GA 30901-2775

Mailing address

1303 Dantignac St
Suite 2500
Augusta, GA 30901-2775
Phone (706) 733-4427

Other identifiers 1

IdentifierTypeStateIssuer
CB2321OtherGARAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040521000648 GA Part B Supplier - Clinic/Group Practice 2365433943 Receives reassigned benefits from 11 practitioners
Practice locations: Augusta, GA

National Provider Directory

National Provider Directory

Locations

1303 Dantignac St
Ste 2500
Augusta, GA 30901
Phone (706) 722-6900

Practitioners & affiliated clinicians

Practitioners 12

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": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1902875966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 DANTIGNAC ST",
            "address_2": "SUITE 2500",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012775",
            "telephone_number": "706-733-4427",
            "fax_number": "706-737-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 DANTIGNAC ST",
            "address_2": "SUITE 2500",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012775",
            "telephone_number": "706-733-4427",
            "fax_number": "706-737-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S HEALTH OF AUGUSTA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "WILLARD",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "ASST MANAGER/BILLING MANAGER",
        "authorized_official_telephone_number": "706-733-4427"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB2321",
            "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 Apr 9, 2013; 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.