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AUGUSTA NEUROSCIENCE PC NPI 1104942929


NPI Information

NPI: 1104942929
Provider Name: AUGUSTA NEUROSCIENCE PC

Doing Business As: AUGUSTA BACK

Classification: Neurological Surgery - 207T00000X
Entity Type: Organization

CLIA Number: 11D1096829

Address:
840 STEVENS CREEK ROAD
AUGUSTA, GA
ZIP 30907
Phone: (706) 722-6957
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AUGUSTA NEUROSCIENCE PC is a neurological surgery in Augusta, GA. The provider is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. AUGUSTA NEUROSCIENCE PC NPI is 1104942929. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Augusta Back.

The provider's business location address is:

840 STEVENS CREEK ROAD
AUGUSTA, GA
ZIP 30907
Phone: (706) 722-6957
Fax: (706) 722-1999

The provider's authorized official is Reginald Hill .
The authorized official title is Practice Administrator and has the following contact phone number (706) 722-6957.

The CLIA number assigned to this NPI record is 11D1096829 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 11/5/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208VP0014XPain MedicineInterventional Pain MedicineNo
2225100000XPhysical TherapistPT005715GEORGIANo
3208100000XPhysical Medicine & Rehabilitation059596GEORGIANo
4207T00000XNeurological SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1537060748AMEDICAIDGEORGIA
2GPA933MEDICAIDSOUTH CAROLINA
3GRP8013MEDICARE PINGEORGIA
4DF7978OTHERGEORGIARAILROAD MEDICARE
55947320001MEDICARE NSCGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.