Active NPI
Frederick C Ferguson, M.D.
- Specialist
- Augusta, GA
National Provider Identifier
1992771729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 19161
- Practice address
- 3623 J Dewey Gray Cir
Suite 313
Augusta, GA 30909-6511 - Phone
- (706) 860-9066
- Fax
- (706) 855-8842
- NPI assigned
- Feb 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 19161 | GA | Primary |
Addresses
Primary practice location
3623 J Dewey Gray Cir
Suite 313
Augusta, GA 30909-6511
Mailing address
3623 J Dewey Gray Cir
Suite 313
Augusta, GA 30909-6511
Phone (706) 860-9066
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2860FE | Other | GA | BC PROVIDER NUMBER |
| 908977 | Other | SC | MEDICAID PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19161 | GA | MD | Specialist |
| 019161 | GA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| F C Ferguson MD PC | Current | Accepting new patients |
Locations
3623 J Dewey Gray Cir
Ste 313
Augusta, GA 30909
Phone (706) 860-9066
Organizations & group practices 1
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.
-
- Urology Physician
- Augusta, GA
- NPI 1659552313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1992771729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3623 J DEWEY GRAY CIR",
"address_2": "SUITE 313",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309096511",
"telephone_number": "706-860-9066",
"fax_number": "706-855-8842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3623 J DEWEY GRAY CIR",
"address_2": "SUITE 313",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309096511",
"telephone_number": "706-860-9066",
"fax_number": "706-855-8842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "FREDERICK",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-23",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "19161",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC PROVIDER NUMBER",
"identifier": "2860FE",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID PROVIDER NUMBER",
"identifier": "908977",
"state": "SC"
}
],
"endpoints": [],
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.