Augusta Pediatric Clinic, PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

AUGUSTA PEDIATRIC CLINIC, PC

Practice address

3540 Wheeler Rd
Suite 302
Augusta, GA 30909-1871

Phone

(706) 737-0111

Fax

(706) 737-0442

NPI assigned

Oct 26, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John David Allen, M.D.

Title

President

Phone

(706) 737-0111

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Deepa Sanjay Jagdale, M.D.

  • Pediatrics Physician
  • Martinez, GA
  • NPI 1447412184
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952486003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 WHEELER RD",
            "address_2": "SUITE 302",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091871",
            "telephone_number": "706-737-0111",
            "fax_number": "706-737-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 WHEELER RD",
            "address_2": "SUITE 302",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091871",
            "telephone_number": "706-737-0111",
            "fax_number": "706-737-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA PEDIATRIC CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-737-0111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Augusta Pediatric Associates, P.C.
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• Augusta Podiatry Associates
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• Pediatrics Physician in Augusta, GA
• Providers in Augusta, GA by specialty
• Pediatrics Physician in Georgia

• 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.