DR. IRINEO MINA SIBAL M.D. NPI 1114059136

NPI Information

  • NPI: 1114059136
  • Provider Name: DR. IRINEO MINA SIBAL, M.D.
  • Classification: Family Medicine - 207QA0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Individual
  • Address: 3485 MIKE PADGETT HWY
    AUGUSTA, GA
    ZIP 30906
  • Phone: (706) 771-7843

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NPI Details

DR. Irineo Mina Sibal, M.D. is an adolescent medicine family medicine in Augusta, GA. The provider is a family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. DR. Irineo Mina Sibal, M.D. NPI is 1114059136. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3485 MIKE PADGETT HWY
AUGUSTA, GA
ZIP 30906-815
Phone: (706) 771-7843

The enumeration date for this NPI number is 3/12/2007 and was last updated on 9/11/2025.

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
1204D00000XNeuromusculoskeletal Medicine & OMM0018845GEORGIANo
2207QA0000XFamily MedicineAdolescent Medicine0018845GEORGIAYes

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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