Active NPI
Linda Marie Street, M.D.
- Maternal & Fetal Medicine Physician
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 75544
- Practice address
- 1120 15TH St
Augusta, GA 30912-0004 - Phone
- (706) 721-4959
- NPI assigned
- Jun 30, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | 75544 | GA | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | 32026 | SC | |
| Obstetrics & Gynecology Physician | 207V00000X | 75544 | GA | |
| Maternal & Fetal Medicine Physician | 207VM0101X | 32026 | SC | |
| Maternal & Fetal Medicine Physician | 207VM0101X | 2013-00501 | NC |
Addresses
Primary practice location
1120 15TH St
Augusta, GA 30912-0004
Mailing address
3624 J Dewey Gray Cir Ste 308
Augusta, GA 30909-6580
Phone (706) 922-7670
Other practice location 1
3624 J Dewey Gray Cir Ste 308
Augusta, GA 30909-6580
Phone (706) 922-7670
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5632783 | Other | NC | AETNA |
| 179TK | Other | NC | BCBS |
| 1962630830 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | DHAUGUSTA.COCAG.GAA@CCDA.HCADIRECT.NET |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, KY, TX, IL, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Lerna Rd S
Mattoon, IL 61938-9388
Phone (217) 258-5900
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
71 Pinner PL
Graniteville, SC 29829-3415
Phone (309) 672-4433
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013-00501 | NC | MD | Maternal & Fetal Medicine Physician |
| 32026 | SC | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Au Medical Associates Inc | Current | Accepting new patients | |
| Alaska Native Tribal Health Consortium | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| Richland Memorial Hospital, Inc | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Richland Memorial Hospital, Inc | Current | Accepting new patients | |
| Au Medical Associates Inc | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| Carle Health Care Incorporated | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Current | Accepting new patients |
Locations
4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729
4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900
4320 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-0000
1120 15th St
Augusta, GA 30912
Phone (706) 721-3873
7752 Solution Ctr
Chicago, IL 60677
701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531
900 E Scott St
Olney, IL 62450
Phone (618) 345-1000
800 E Locust St
Olney, IL 62450
Phone (618) 395-2131
1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
401 E Chestnut St
Unit 410
Louisville, KY 40202
Phone (502) 271-5999
571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700
Organizations & group practices 12
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.
-
- Multi-Specialty Clinic/Center
- Augusta, GA
- NPI 1841230620
-
- Internal Medicine Physician
- Hoopeston, IL
- NPI 1043683014
-
- Critical Access Hospital
- Olney, IL
- NPI 1467492124
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1366722316
Obstetrics & Gynecology
-
- Durable Medical Equipment & Medical Supplies
- Augusta, GA
- NPI 1114574126
-
- Critical Access Hospital
- Hoopeston, IL
- NPI 1366480873
-
- Rural Health Clinic/Center
- Hoopeston, IL
- NPI 1578504544
-
- Otolaryngology Physician
- Olney, IL
- NPI 1700063179
-
- Diagnostic Radiology Physician
- Louisville, KY
- NPI 1316294127
-
- Transplant Surgery Physician
- Louisville, KY
- NPI 1790055341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641513600000",
"number": "1962630830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3624 J DEWEY GRAY CIR STE 308",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309096580",
"telephone_number": "706-922-7670",
"fax_number": "706-863-8175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 15TH ST",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309120004",
"telephone_number": "706-721-4959"
}
],
"practiceLocations": [
{
"address_1": "3624 J Dewey Gray Cir Ste 308",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309096580",
"country_code": "US",
"telephone_number": "706-922-7670",
"fax_number": "706-863-8175",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STREET",
"first_name": "LINDA",
"middle_name": "MARIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-30",
"last_updated": "2022-01-07",
"certification_date": "2020-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "GA",
"license": "75544",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "SC",
"license": "32026",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "75544",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "SC",
"license": "32026",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "NC",
"license": "2013-00501",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5632783",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "179TK",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1962630830",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "DHAUGUSTA.COCAG.GAA@CCDA.HCADIRECT.NET",
"affiliation": "N",
"address_1": "3624 J Dewey Gray Cir Ste 308",
"city": "Augusta",
"state": "GA",
"country_code": "US",
"postal_code": "309096580",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.