Augusta Obstetrics and Gynecology Specialists, LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

AUGUSTA OBSTETRICS AND GYNECOLOGY SPECIALISTS, LLC

Practice address

2806 Hillcreek Dr
Augusta, GA 30909-6484

Phone

(706) 863-0200

Fax

(706) 863-4695

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Cristian Mauricio Thomae, M.D.NPI 1306934658

Title

Managing Member

Phone

(706) 863-0200

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jones Mark Gresham, M.D.

  • Obstetrics & Gynecology Physician
  • Augusta, GA
  • NPI 1326026618

  GA, Obstetrics & Gynecology

  Medicare reassignment Care Compare group NPD
• Kathryn A. Knodel, M.D.

  • Obstetrics & Gynecology Physician
  • Augusta, GA
  • NPI 1750416020

  GA, Obstetrics & Gynecology

  Medicare reassignment Care Compare group NPD
• Rafael Eduardo Jordan, M.D.

  • Obstetrics & Gynecology Physician
  • Augusta, GA
  • NPI 1750479911

  GA

  Medicare reassignment Care Compare group
• Tiffany General, M.D

  • Obstetrics & Gynecology Physician
  • Dothan, AL
  • NPI 1982950911

  GA

  Medicare reassignment Care Compare group
• Cristian Mauricio Thomae, M.D.

  • Obstetrics & Gynecology Physician
  • Charleston, SC
  • NPI 1306934658

  Obstetrics & Gynecology

  NPD Authorized official
• Mary Elizabeth Lopez, FNP-BC

  • Family Nurse Practitioner
  • Augusta, GA
  • NPI 1699395749
  NPD (past)
• Tomeika Michelle Wimbush

  • Ambulatory Women's Health Care Registered Nurse
  • Augusta, GA
  • NPI 1952987026
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952499014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 HILLCREEK DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096484",
            "telephone_number": "706-863-0200",
            "fax_number": "706-863-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 HILLCREEK DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096484",
            "telephone_number": "706-863-0200",
            "fax_number": "706-863-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA OBSTETRICS AND GYNECOLOGY SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMAE",
        "authorized_official_first_name": "CRISTIAN",
        "authorized_official_middle_name": "MAURICIO",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "706-863-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GPA 805",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Augusta, GA
• Providers in Augusta, GA by specialty
• Obstetrics & Gynecology 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.