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AUGUSTA PRIMARY CARE SERVICES LLC NPI 1811175474


NPI Information

NPI: 1811175474
Provider Name: AUGUSTA PRIMARY CARE SERVICES, LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
3624 J DEWEY GRAY CIR
SUITE 308
AUGUSTA, GA
ZIP 30909
Phone: (706) 855-5650
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AUGUSTA PRIMARY CARE SERVICES, LLC is an internal medicine in Augusta, GA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. AUGUSTA PRIMARY CARE SERVICES, LLC NPI is 1811175474. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3624 J DEWEY GRAY CIR
SUITE 308
AUGUSTA, GA
ZIP 30909-584
Phone: (706) 855-5650
Fax: (706) 863-0821

The provider's authorized official is Robert Price .
The authorized official title is Provider and has the following contact phone number (706) 855-5650.

The enumeration date for this NPI number is 2/6/2008 and was last updated on 3/20/2012.


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
1207R00000XInternal Medicine031307GEORGIAYes

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
1E61396MEDICARE UPINGEORGIA
2000404555HMEDICAIDGEORGIA
3GRP6219MEDICARE PINGEORGIA

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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