Provider Type Icon

STEPHENS CLINIC LLC NPI 1942408216


NPI Information

NPI: 1942408216
Provider Name: STEPHENS CLINIC LLC
Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 11D1095848

Address:
1109 MEDICAL CENTER DR
SUITE 8A
AUGUSTA, GA
ZIP 30909
Phone: (706) 863-7021
Get Directions

STEPHENS CLINIC LLC is a pain medicine anesthesiology in Augusta, GA. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. STEPHENS CLINIC LLC NPI is 1942408216. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1109 MEDICAL CENTER DR
SUITE 8A
AUGUSTA, GA
ZIP 30909-633
Phone: (706) 863-7021
Fax: (706) 651-6322

The provider's authorized official is Russell L Stephens .
The authorized official title is Owner and has the following contact phone number (706) 863-7021.

The CLIA number assigned to this NPI record is 11D1095848 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/6/2007 and was last updated on 1/22/2013.


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
1207LP2900XAnesthesiologyPain Medicine040246GEORGIAYes

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
1I25888MEDICARE UPINGEORGIA
2D17802MEDICARE 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

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.