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DR. SAMUEL W. MIETLING M.D. NPI 1750347589


NPI Information

NPI: 1750347589
Provider Name: DR. SAMUEL W. MIETLING, M.D.
Classification: Radiology - 2085R0204X
Entity Type: Individual

Specialization: Vascular & Interventional Radiology

PECOS Registration: Yes

Address:
630 13TH ST
SUITE 250
AUGUSTA, GA
ZIP 30901
Phone: (706) 774-5000
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DR. Samuel W. Mietling, M.D. is a vascular and interventional radiology radiology in Augusta, GA with 39 years of experience. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. DR. Samuel W. Mietling, M.D. NPI is 1750347589. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduation Year:1985

The provider's business location address is:

630 13TH ST
SUITE 250
AUGUSTA, GA
ZIP 30901-015
Phone: (706) 774-5000
Fax: (706) 823-5928

The NPI 1750347589 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Moderate sedation services by physician also performing a procedure, additional 15 minutes (HCPCS:99153)
  • Ultrasound guidance for accessing into blood vessel (HCPCS:76937)
  • Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)
  • Fluoroscopic guidance for insertion, replacement or removal of central venous access device (HCPCS:77001)
  • Radiological supervision and interpretation of ct guidance for needle insertion (HCPCS:77012)
  • Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older (HCPCS:36561)

The enumeration date for this NPI number is 4/21/2006 and was last updated on 4/26/2024.


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
12085B0100XRadiologyBody Imaging051686GEORGIANo
22085D0003XRadiologyDiagnostic Neuroimaging051686GEORGIANo
32085N0700XRadiologyNeuroradiology051686GEORGIANo
42085N0904XRadiologyNuclear Radiology051686GEORGIANo
52085P0229XRadiologyPediatric Radiology051686GEORGIANo
62085R0202XRadiologyDiagnostic Radiology051686GEORGIANo
72085U0001XRadiologyDiagnostic Ultrasound051686GEORGIANo
82085R0204XRadiologyVascular & Interventional Radiology051686GEORGIAYes

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
100952795AMEDICAIDGEORGIA
2G51686MEDICAIDSOUTH CAROLINA
300952795CMEDICAIDGEORGIA
41346357217OTHERNPI - VASCULAR RADIOLOGY
583555OTHERSOUTH CAROLINASC MEDICAL LICENSE
600952795BMEDICAIDGEORGIA

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: 4/28/2024

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.