CHRIST COMMUNITY HEALTH SERVICES AUGUSTA, INC (NPI# 1043568264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043568264 |
| Entity Type | Organization |
| Organization Name | CHRIST COMMUNITY HEALTH SERVICES AUGUSTA, INC |
| Practice Address |
127 Telfair St Augusta GA 30901-2590 |
| Mailing Address |
Po Box 2344 Augusta GA 30903-2344 |
| Practice Telephone | 7069220600 |
| Practice Fax Number | 7069220604 |
| Mailing Telephone | 7069220600 |
| Mailing Fax Number | 7069220604 |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2019-02-15 |
| Authorized Official Name | JACOB DEAN BOSTWICK (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 7069220600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003127076A | 05 | |
| SC | FQC119 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588912703 | Christ Community Health Services Augusta, Inc | Clinic/Center | 1226 Dantignac St, Augusta, GA 30901-2788 | 2012-08-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CHRIST COMMUNITY HEALTH SERVICES AUGUSTA, INC. | 1226 Dantignac St, Augusta, GA 30901-2788 |
| Street Address |
127 TELFAIR ST |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30901-2590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225088941 | Katherine Ann Driver | Nurse Practitioner | 127 Telfair St, Augusta, GA 30901-2590 | 2006-05-11 |
| 1881291367 | Gilbert Lee Lewis Jr. | Physician Assistant | 127 Telfair St, Augusta, GA 30901-2590 | 2020-10-07 |
| 1205489929 | Philip Young Kong | Nurse Practitioner | 127 Telfair St, Augusta, GA 30901-2590 | 2019-07-22 |
| 1952871006 | Sanford Dale White | Social Worker | 127 Telfair St, Augusta, GA 30901-2590 | 2018-12-03 |
| 1487055091 | Benjamin Kilpatrick | Physician Assistant | 127 Telfair St, Augusta, GA 30901-2590 | 2014-09-15 |
| 1396150256 | Chadwick Brantley | Dentist | 127 Telfair St, Augusta, GA 30901-2590 | 2014-06-29 |
| 1033408232 | Patrick Mcmillan Kelly | Internal Medicine | 127 Telfair St, Augusta, GA 30901-2590 | 2011-03-29 |
| 1598084717 | Jonathan A Davis | Internal Medicine | 127 Telfair St, Augusta, GA 30901-2590 | 2010-05-27 |
| 1306006432 | Karissa King Wilson | Family Medicine | 127 Telfair St, Augusta, GA 30901-2590 | 2008-06-12 |
| 1285894352 | Jeremiah J Wilson | Family Medicine | 127 Telfair St, Augusta, GA 30901-2590 | 2008-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477019925 | Courtney Erin Fairchild | Physician Assistant | 1101 15th Street, Pa-224, Augusta, GA 30901 | 2019-02-20 |
| 1699263921 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1022 Walton Way Spc C, Augusta, GA 30901 | 2018-04-23 |
| 1235684192 | Heather Raborn | Allergy & Immunology | 1350 Walton Way Ste 5100, Augusta, GA 30901 | 2016-08-22 |
| 1457690745 | Rehab Without Walls, Inc. | In Home Supportive Care | 820 St Sebastin Way Se, Augusta, GA 30901 | 2013-02-06 |
| 1861788051 | Christina Weidner Belcher | Physical Therapist | 1246 Pine St, Augusta, GA 30901 | 2011-06-25 |
| 1750695979 | C H Martin Company | Durable Medical Equipment & Medical Supplies | 1456 Walton Way Suite B, Augusta, GA 30901 | 2010-07-29 |
| 1366773905 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4027 Wheeler Rd, Augusta, GA 30901 | 2010-01-21 |
| 1851622484 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1715 Forest Drive, Augusta, GA 30901 | 2010-01-21 |
| 1760615280 | Absolute Family PCh | Point of Service | 2035 Old Savannah Rd., Augusta, GA 30901 | 2009-09-01 |
| 1073740643 | Ryan J Altenburg | Internal Medicine | 820 Saint Sebastian Way Ste 8a, Augusta, GA 30901 | 2009-06-22 |
| Find all providers in zip 30901 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275635542 | Arcare | Clinic/Center | 117 S 2nd St, Augusta, AR 72006 | 2006-09-05 |
| 1497716062 | Arcare | Clinic/Center | 400 Highway 64 E, Augusta, AR 72006-5150 | 2006-03-31 |
| 1548757024 | Neighborhood Improvement Project Inc | Clinic/Center | 1111 Garredd Blvd Ste A, Augusta, GA 30909-6674 | 2018-04-19 |
| 1992164552 | Neighborhood Improvement Project Inc | Clinic/Center | 2050 Walton Way, Ste 101, Augusta, GA 30904-2305 | 2016-02-11 |
| 1588912703 | Christ Community Health Services Augusta, Inc | Clinic/Center | 1226 Dantignac St, Augusta, GA 30901-2788 | 2012-08-20 |
| 1598023293 | Arcare | Clinic/Center | 800 Main St, Augusta, AR 72006-2449 | 2012-05-01 |
| 1861766891 | Arcare | Clinic/Center | 400 Highway 64 E, Augusta, AR 72006-5150 | 2012-03-08 |
| 1376829598 | Maine Mobile Health Program, Inc. | Clinic/Center | 9 Green St, Suite 220, Augusta, ME 04330-7451 | 2011-11-02 |
| 1184933632 | Lewis County Primary Care Center Inc. | Clinic/Center | 1551 Augusta Chatham Rd, Augusta, KY 41002-9224 | 2010-10-01 |
| 1164683975 | Healthpoint Family Care Inc | Clinic/Center | 1551 Augusta Chatham Rd, Augusta, KY 41002-9224 | 2008-06-24 |
| Find all providers in AUGUSTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.