Augusta Gastrointestinal Specialists Inc | |
820 Saint Sebastian Way Suite 2 D Augusta GA 30901-2643 | |
(706) 722-1461 | |
(706) 722-2767 |
Full Name | Augusta Gastrointestinal Specialists Inc |
---|---|
Speciality | Internal Medicine |
Location | 820 Saint Sebastian Way, Augusta, Georgia |
Authorized Official Name and Position | Ronald Brown (OWNER, CEO) |
Authorized Official Contact | 7067221461 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Augusta Gastrointestinal Specialists Inc 820 Saint Sebastian Way Suite 2 D Augusta GA 30901-2643 Ph: (706) 722-1461 | Augusta Gastrointestinal Specialists Inc 820 Saint Sebastian Way Suite 2 D Augusta GA 30901-2643 Ph: (706) 722-1461 |
NPI Number | 1689707432 |
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Provider Enumeration Date | 03/13/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 7012999675 |
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Medicare Enrollment ID | O20040607000462 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689707432 | NPI | - | NPPES |
G025517 | Other | GU | LICENSE |
1245277250 | Other | GA | NPI |
GRP4596 | Other | GA | MEDICARE GROUP |
GRP4596 | Other | GU | MEDICARE GROUP |
00918013A | Medicaid | GA | |
00283654B | Medicaid | GA | |
048164 | Other | GU | LICENSE |
1316984347 | Other | GA | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | G025517 (Georgia) | Secondary |
207RG0100X | Internal Medicine - Gastroenterology | 048164 (Georgia) | Primary |
Provider Name | Ronald Brown |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1326365156 PECOS PAC ID: 2365681723 Enrollment ID: I20180131003308 |
Infectious Disease Consultants Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 820 St. Sebastian Way, Suite 4a, Augusta, GA 30901 Phone: 706-724-4376 Fax: 706-731-5289 | |
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Benjamin L. Rucker M.d. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1138 Druid Park Ave, Suite B, Augusta, GA 30904 Phone: 706-733-9447 Fax: 706-738-0863 | |
Neighborhood Improvement Project Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2300 Wrightsboro Rd, Augusta, GA 30904 Phone: 706-790-4440 | |
Champion Orthopedics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1706 Magnolia Way, Augusta, GA 30909 Phone: 706-210-7529 Fax: 706-312-7610 |