Organization Active NPI

Obstetrics and Gynecology Services of Augusta PC

  • Obstetrics & Gynecology Physician
  • Augusta, GA
National Provider Identifier
1922319094
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
063205 Issued in GA
Legal business name
OBSTETRICS AND GYNECOLOGY SERVICES OF AUGUSTA PC
Practice address
1500 Johns Road
Suite 3
Augusta, GA 30904-4808
Phone
(706) 733-6625
NPI assigned
Jun 23, 2010
Last updated
Jun 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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

Authorized official

Name
Dr. Magalie Pierre, MDNPI 1386977031
Title
Solo Practitioner
Phone
(706) 733-6625

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 063205 GA Primary

Addresses

Primary practice location

1500 Johns Road
Suite 3
Augusta, GA 30904-4808

Mailing address

1500 Johns Road
Suite 3
Augusta, GA 30904-4808
Phone (706) 733-6625

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101011000052 GA Part B Supplier - Other 6800088741 Receives reassigned benefits from 1 practitioner
Practice locations: Augusta, GA

National Provider Directory

National Provider Directory

Locations

1500 Johns Rd
Ste 3
Augusta, GA 30904
Phone (706) 733-6625

2060 Central Ave
Augusta, GA 30904
Phone (706) 738-4442

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1922319094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 JOHNS ROAD",
            "address_2": "SUITE 3",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309044808",
            "telephone_number": "706-733-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 JOHNS ROAD",
            "address_2": "SUITE 3",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309044808",
            "telephone_number": "706-733-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBSTETRICS AND GYNECOLOGY SERVICES OF AUGUSTA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-23",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "PIERRE",
        "authorized_official_first_name": "MAGALIE",
        "authorized_official_title_or_position": "SOLO PRACTITIONER",
        "authorized_official_telephone_number": "706-733-6625",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "063205",
            "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 23, 2010; 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.