SPINE CENTER AUGUSTA, LLC (NPI# 1053883710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053883710 |
| Entity Type | Organization |
| Organization Name | SPINE CENTER AUGUSTA, LLC |
| Practice Address |
501 Furys Ferry Rd Augusta GA 30907-9059 |
| Mailing Address |
3161 Howell Mill Rd Nw Ste 310 Atlanta GA 30327-2132 |
| Practice Telephone | 7067152897 |
| Mailing Telephone | 4043515812 |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2018-12-19 |
| Authorized Official Name | STEVEN WEIDLER (CFO) |
| Authorized Official Telephone | 4043515812 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
501 FURYS FERRY RD |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30907-9059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881138592 | Traci Corbin | Nurse Practitioner | 501 Furys Ferry Rd, Augusta, GA 30907-9059 | 2016-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275158156 | Mary Cameron Elizabeth Robert | Dentist | 3226 Washington Rd, Augusta, GA 30907 | 2020-06-16 |
| 1841760451 | Debra E Gibbs | Dental Hygienist | 523 Crystal Creek West, Martinez, GA 30907 | 2018-11-27 |
| 1083183651 | Leslie Yvonne Watkins | Massage Therapist | 3450 River Watch Parkway, Suite 100, Martinez, GA 30907 | 2018-11-13 |
| 1124594718 | Kimberly A Delaigle | Nurse Practitioner | 3475 Riverwatch Parkway, Suite 310, Martinez, GA 30907 | 2018-10-22 |
| 1366960825 | Catherine Lane Hopkins | Speech-Language Pathologist | 435 Cambridge Circle, Martinez, GA 30907 | 2017-09-05 |
| 1518485143 | Challenging Perspectives | Clinic/Center | 3710 Executive Center Dr Suite B, Martinez, GA 30907 | 2017-09-04 |
| 1386168490 | Carlene Elizabeth Lemcke | Speech-Language Pathologist | 3580 Riverwatch Parkway, Martinez, GA 30907 | 2017-07-31 |
| 1619499357 | Orchid Archer | Registered Nurse | 702 Riverbend Drive, Martinez, GA 30907 | 2017-07-14 |
| 1437679339 | Mediator Senior Care, LLC | In Home Supportive Care | 4143 Columbia Rd., Suite B, Martinez, GA 30907 | 2017-06-21 |
| 1518407907 | Augusta Smilecare PC | Dentist | 4200 Columbia Road, Martinez, GA 30907 | 2017-03-03 |
| Find all providers in zip 30907 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841639465 | Joe David Christian Jr. | Orthopaedic Surgery | 4 Indian Creek Rd, Augusta, GA 30909-3749 | 2013-06-17 |
| 1578909396 | Melissa M Allen | Orthopaedic Surgery | Augusta University Medical Center, 1120 15th Street, Augusta, GA 30912-0001 | 2013-05-20 |
| 1598938219 | William Little Clark | Orthopaedic Surgery | 5 Retreat Rd, Augusta, GA 30909-1837 | 2008-04-03 |
| 1548455124 | Uzondu Francis Agochukwu | Orthopaedic Surgery | Augusta University Medical Ctr, 1120 15th Street, Augusta, GA 30912-0004 | 2007-09-07 |
| 1386654952 | Robert L.j. Sampson | Orthopaedic Surgery | 1 Va Ctr Bldg Dr, Bldg 200, Augusta, ME 04330-6719 | 2006-08-08 |
| 1619997780 | William Crozier Meade | Orthopaedic Surgery | 1 Va Center Drive, Surgical Service 112, Augusta, ME 04330 | 2006-07-20 |
| 1417914706 | John Adrian Bojescul | Orthopaedic Surgery | 3650 J Dewey Gray Circle, Augusta, GA 30909 | 2006-04-28 |
| 1316908536 | Augusta Orthopaedic Clinic Pa | Orthopaedic Surgery | 1521 Anthony Rd, Augusta, GA 30904-4821 | 2006-03-29 |
| 1760458129 | William D Rogers | Orthopaedic Surgery | 15 Enterprise Dr, Ste 100, Augusta, ME 04330-7894 | 2006-02-27 |
| 1033119128 | Robert L Brand IIi | Orthopaedic Surgery | 3650 J Dewey Gray Cr, Augusta, GA 30909 | 2005-07-29 |
| 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.