Individual provider Active NPI

Lina Berika

  • Pediatrics Physician
  • Augusta, GA
National Provider Identifier
1982449955
Registry record updated Jul 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
16806 Issued in GA
Practice address
1120 15TH St Dept of
Augusta, GA 30912-0006
Phone
(706) 721-3229
NPI assigned
Jul 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 16806 GA Primary

Addresses

Primary practice location

1120 15TH St Dept of
Augusta, GA 30912-0006

Mailing address

1120 15TH St Dept of
Augusta, GA 30912-0006
Phone (706) 721-3229

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
I20240727000376 GA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 8224574116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722124800000",
    "number": "1982449955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 15TH ST DEPT OF",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120006",
            "telephone_number": "706-721-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 15TH ST DEPT OF",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120006",
            "telephone_number": "706-721-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERIKA",
        "first_name": "LINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-28",
        "certification_date": "2024-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "16806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.