| Umg Endocrinolgy | |
|
820 Saint Sebastian Way Ste. # 4-c Augusta GA 30901-2643 | |
| (706) 774-7488 | |
| (706) 774-7489 |
| Full Name | Umg Endocrinolgy |
|---|---|
| Speciality | Internal Medicine |
| Location | 820 Saint Sebastian Way, Augusta, Georgia |
| Authorized Official Name and Position | Julie Deason (DIRECTOR) |
| Authorized Official Contact | 7067748326 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Umg Endocrinolgy Po Box 1705 Augusta GA 30903-1705 Ph: (706) 774-7263 | Umg Endocrinolgy 820 Saint Sebastian Way Ste. # 4-c Augusta GA 30901-2643 Ph: (706) 774-7488 |
| NPI Number | 1639501505 |
|---|---|
| Provider Enumeration Date | 08/02/2013 |
| Last Update Date | 10/17/2018 |
| Medicare PECOS PAC ID | 3971737776 |
|---|---|
| Medicare Enrollment ID | O20131010000868 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639501505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Ian C Herskowitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295880680 PECOS PAC ID: 1153473921 Enrollment ID: I20090709000373 |
| Provider Name | Katie Ann Gresham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003589631 PECOS PAC ID: 2264820596 Enrollment ID: I20211019002092 |
| Provider Name | Gianina Usera |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1295040590 PECOS PAC ID: 7810139250 Enrollment ID: I20220105000334 |
| Provider Name | Anne-marie Addleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912623646 PECOS PAC ID: 3971973694 Enrollment ID: I20221221001151 |
| Provider Name | Leighton Harned |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1649708017 PECOS PAC ID: 9133494297 Enrollment ID: I20230417002596 |
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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 | |
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