Individual provider Active NPI

Tito C Sobrinho, M.D.

  • Pediatric Adolescent Medicine Physician
  • Augusta, GA
National Provider Identifier
1942244652
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
017557 Issued in GA
Practice address
3614 J Dewey Gray Cir
Augusta, GA 30909-6602
Phone
(706) 860-2949
Fax
(706) 860-4842
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 017557 GA Primary

Addresses

Primary practice location

3614 J Dewey Gray Cir
Augusta, GA 30909-6602

Mailing address

3614 J Dewey Gray Cir
Augusta, GA 30909-6602
Phone (706) 860-2949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201109002179 GA Practitioner - Pediatric Medicine 7416367115 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
017557GAMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Improvement Project Inc CurrentSince Dec 1, 2020 Accepting new patients
Neighborhood Improvement Project, Inc CurrentSince Dec 1, 2020 Accepting new patients
Neighborhood Improvement Project, Inc Past Accepting new patients

Locations

1299 Interstate Pkwy
Augusta, GA 30909
Phone (706) 863-2246

2467 Golden Camp Rd
Augusta, GA 30906
Phone (706) 922-0682

Interoperability endpoints

  • Direct secure messaging: tito.sobrinho@mapbt.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1942244652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3614 J DEWEY GRAY CIR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096602",
            "telephone_number": "706-860-2949",
            "fax_number": "706-860-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3614 J DEWEY GRAY CIR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096602",
            "telephone_number": "706-860-2949",
            "fax_number": "706-860-4842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBRINHO",
        "first_name": "TITO",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "GA",
            "license": "017557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.