Organization Active NPI

Augusta Preventive Cardiology

  • Internal Medicine Physician
  • Augusta, GA
National Provider Identifier
1932245206
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
011846 Issued in GA
Legal business name
AUGUSTA PREVENTIVE CARDIOLOGY
Practice address
1511 Anthony Rd
Augusta, GA 30904-4821
Phone
(706) 731-9119
Fax
(706) 731-9800
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Authorized official

Name
Dr. Albert A Carr, M.D.
Title
Owner
Phone
(706) 731-9119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 011846 GA Primary

Addresses

Primary practice location

1511 Anthony Rd
Augusta, GA 30904-4821

Mailing address

PO Box 3545
Augusta, GA 30914-3545
Phone (706) 868-0131

Other identifiers 2

IdentifierTypeStateIssuer
904301MedicaidSC
00098788CMedicaidGA

National Provider Directory

National Provider Directory

Locations

1510 Johns Rd
Augusta, GA 30904
Phone (706) 731-9119

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1932245206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3545",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309143545",
            "telephone_number": "706-868-0131",
            "fax_number": "706-854-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 ANTHONY RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309044821",
            "telephone_number": "706-731-9119",
            "fax_number": "706-731-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA PREVENTIVE CARDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-731-9119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "011846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "904301",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00098788C",
            "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 Oct 26, 2011; 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.