INTERCARE MEDICAL CORP NPI 1083253140

NPI Information

  • NPI: 1083253140
  • Provider Name: INTERCARE MEDICAL, CORP
  • Classification: Clinic/Center - 261QP3300X
  • Specialization: Pain
  • Entity Type: Organization
  • Address: 3540 WHEELER RD STE 307
    AUGUSTA, GA
    ZIP 30909
  • Phone: (706) 432-1111

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NPI Details

INTERCARE MEDICAL, CORP is a pain clinic center in Augusta, GA. INTERCARE MEDICAL, CORP NPI is 1083253140. The provider is registered as an organization entity type.

The provider's business location address is:

3540 WHEELER RD STE 307
AUGUSTA, GA
ZIP 30909-887
Phone: (706) 432-1111
Fax: (706) 945-0638

The provider's authorized official is Jon C Gibbs .
The authorized official title is Physician and has the following contact phone number (706) 432-1111.

The enumeration date for this NPI number is 1/6/2020 and was last updated on 1/6/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP3300XClinic/CenterPainYes

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: 11/21/2025

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