| Christ Community Health Services Augusta, Inc. | |
|
1226 Dantignac St Augusta GA 30901-2788 | |
| (706) 922-0600 | |
| (706) 922-0603 |
| Full Name | Christ Community Health Services Augusta, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1226 Dantignac St, Augusta, Georgia |
| Authorized Official Name and Position | Jacob Dean Bostwick (DIRECTOR OF FINANCE) |
| Authorized Official Contact | 7069220600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christ Community Health Services Augusta, Inc. Po Box 2344 Augusta GA 30903-2344 Ph: (706) 922-0600 | Christ Community Health Services Augusta, Inc. 1226 Dantignac St Augusta GA 30901-2788 Ph: (706) 922-0600 |
| NPI Number | 1174716989 |
|---|---|
| Provider Enumeration Date | 08/24/2007 |
| Last Update Date | 02/15/2019 |
| Medicare PECOS PAC ID | 6608953633 |
|---|---|
| Medicare Enrollment ID | O20080401000769 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174716989 | NPI | - | NPPES |
| 194208754A | Medicaid | GA | |
| GPA951 | Medicaid | SC |
| Provider Name | Robert A Campbell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063412823 PECOS PAC ID: 7416990668 Enrollment ID: I20050608000459 |
| Provider Name | Katherine A Driver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225088941 PECOS PAC ID: 7113956897 Enrollment ID: I20050812000197 |
| Provider Name | Russ Robert Ayers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457556557 PECOS PAC ID: 9032287651 Enrollment ID: I20110125000351 |
| Provider Name | Jeremiah J Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285894352 PECOS PAC ID: 8123171022 Enrollment ID: I20110811000413 |
| Provider Name | Karissa K Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306006432 PECOS PAC ID: 9638222649 Enrollment ID: I20110812000278 |
| Provider Name | Charles Scarborough |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285862706 PECOS PAC ID: 7517192677 Enrollment ID: I20131025000153 |
| Provider Name | Chadwick Turner Brantley |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1396150256 PECOS PAC ID: 2365744216 Enrollment ID: I20160831001946 |
| Provider Name | Emily Underhill John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669984084 PECOS PAC ID: 5597014308 Enrollment ID: I20180827003051 |
| Provider Name | Ashley Stanczak Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255895975 PECOS PAC ID: 2567702566 Enrollment ID: I20190328001166 |
| Provider Name | Patrick Kelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033408232 PECOS PAC ID: 1355568676 Enrollment ID: I20190408000814 |
| Provider Name | Sarah Neely Park |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265646822 PECOS PAC ID: 9537408489 Enrollment ID: I20190429001646 |
| Provider Name | Carroll Wesson Foster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912395641 PECOS PAC ID: 7113279860 Enrollment ID: I20200520001272 |
| Provider Name | Ryan Mark Rister |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306291877 PECOS PAC ID: 8224328638 Enrollment ID: I20200722000760 |
| Provider Name | Joshua A Dubose |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1184773053 PECOS PAC ID: 2567774052 Enrollment ID: I20201005000746 |
| Provider Name | Kayla Renee Cochran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841692241 PECOS PAC ID: 4789095233 Enrollment ID: I20201204001572 |
| Provider Name | Benjamin Swanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528564135 PECOS PAC ID: 4981938552 Enrollment ID: I20210805000206 |
| Provider Name | Angelique Mole |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659877264 PECOS PAC ID: 2365776051 Enrollment ID: I20210924000943 |
| Provider Name | Joseph Krakowiak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518316041 PECOS PAC ID: 4082982566 Enrollment ID: I20220627002011 |
| Provider Name | Katherine Elizabeth Bryson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578299871 PECOS PAC ID: 3173999125 Enrollment ID: I20221018000056 |
| Provider Name | Michael Mario Valerio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487372512 PECOS PAC ID: 2062881063 Enrollment ID: I20221214001985 |
| Provider Name | Yonisha Leigh Wimberly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679165716 PECOS PAC ID: 1254786817 Enrollment ID: I20231017002306 |
| Provider Name | Morgan Washington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356047872 PECOS PAC ID: 5991150484 Enrollment ID: I20231019000286 |
| Provider Name | Tiffany Snow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366716607 PECOS PAC ID: 6002266947 Enrollment ID: I20231219001449 |
| Provider Name | John Lewis Good |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1174705172 PECOS PAC ID: 6901259019 Enrollment ID: I20240125000230 |
| Provider Name | Alfred B Peters |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1336356013 PECOS PAC ID: 8820441868 Enrollment ID: I20240126000314 |
| Provider Name | Adam R Erwood |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962026930 PECOS PAC ID: 4981029261 Enrollment ID: I20240208003227 |
| Provider Name | Caleb A Morris |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1528455987 PECOS PAC ID: 6608176821 Enrollment ID: I20240215001105 |
| Provider Name | Tyrona D Murry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114512530 PECOS PAC ID: 6305280165 Enrollment ID: I20240220002787 |
Durst & Jones Family Dental, Llp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2325 Washington Rd, Augusta, GA 30904 Phone: 706-736-7146 Fax: 706-736-9938 | |
Augusta Smiles Youth Dentistry, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1631 Gordon Hwy, Suite #22, Augusta, GA 30906 Phone: 706-790-9302 Fax: 706-790-9303 | |
Element Dental Group Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3456 Wrightsboro Rd, Augusta, GA 30909 Phone: 706-251-7917 | |
David R. Thomason, D.m.d.,pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3136 Deans Bridge Rd, Augusta, GA 30906 Phone: 706-790-3011 | |
Downtown Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1162 Broad Street, Augusta, GA 30901 Phone: 706-724-0544 Fax: 706-724-0545 | |
Bela Family Dentistry Of Augusta Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2325 Washington Rd, Augusta, GA 30904 Phone: 315-460-6491 | |
Georgia Dental Alliance Of Augusta Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3643 Walton Way Ext, Augusta, GA 30909 Phone: 404-410-1340 |