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AUGUSTA MD P.C. NPI 1417260902


NPI Information

NPI: 1417260902
Provider Name: AUGUSTA MD, P.C.
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

CLIA Number: 11D1085735

Address:
2608 COMMONS BLVD
SUITE A
AUGUSTA, GA
ZIP 30909
Phone: (706) 364-3965
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AUGUSTA MD, P.C. is a psychiatry psychiatry neurology in Augusta, GA. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. AUGUSTA MD, P.C. NPI is 1417260902. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2608 COMMONS BLVD
SUITE A
AUGUSTA, GA
ZIP 30909-080
Phone: (706) 364-3965
Fax: (706) 504-3263

The provider's authorized official is Benjamin C Barnard .
The authorized official title is President and has the following contact phone number (706) 364-3965.

The CLIA number assigned to this NPI record is 11D1085735 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/26/2010 and was last updated on 6/28/2011.


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
12084P0800XPsychiatry & NeurologyPsychiatry021638GEORGIAYes

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
126BDJNLMEDICARE PINGEORGIA
2D39349MEDICARE UPINGEORGIA

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

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