Organization Active NPI

Georgia Christian Medical, LLC

  • Multi-Specialty Clinic/Center
  • Augusta, GA
National Provider Identifier
1902946908
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
GEORGIA CHRISTIAN MEDICAL, LLC
Practice address
2604 Peach Orchard Rd
Suite 200
Augusta, GA 30906-2406
Phone
(706) 798-5645
Fax
(706) 798-0377
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. James Lee Moore
Title
Practice Manager
Phone
(706) 798-5645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

2604 Peach Orchard Rd
Suite 200
Augusta, GA 30906-2406

Mailing address

2604 Peach Orchard Rd
Suite 200
Augusta, GA 30906-2406
Phone (706) 798-5645

Other names 1

  • Hope Medical Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902946908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 PEACH ORCHARD RD",
            "address_2": "SUITE 200",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309062406",
            "telephone_number": "706-798-5645",
            "fax_number": "706-798-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 PEACH ORCHARD RD",
            "address_2": "SUITE 200",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309062406",
            "telephone_number": "706-798-5645",
            "fax_number": "706-798-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA CHRISTIAN MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "706-798-5645",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hope Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 22, 2020; 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.