Active NPI
Augusta Preventive Cardiology
- Internal Medicine Physician
- Augusta, GA
National Provider Identifier
1932245206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 011846
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 904301 | Medicaid | SC | |
| 00098788C | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
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
- Augusta Physiatry
- Augusta Physician Services LLC
- Augusta Physicians Group, LLC
- Augusta Podiatry Associates
- Augusta Preventive Cardiology
- Augusta Primary Care Services LLC
- Augusta Primary Care Services, LLC (Augusta Health Spec-Urology)
- Augusta Primary Care Services, LLC
- Augusta Prosthetics & Orthotics Inc (Augusta Orthotics & Prosthetics, Inc.)
- Augusta Psychiatry and Therapy Associates, LLC
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.