SOUTHERN FAMILY MEDICAL CENTER PC


Address: 3736 Mike Padgett Hwy Ste A, Augusta, GA 30906-0720
Phone: 7065602273

SOUTHERN FAMILY MEDICAL CENTER PC (NPI# 1083785349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083785349
Entity Type Organization
Organization Name SOUTHERN FAMILY MEDICAL CENTER PC
Practice Address 3736 Mike Padgett Hwy Ste A
Augusta
GA 30906-0720
Practice Telephone 7065602273
Practice Fax Number 7065600903
Mailing Telephone 7065602273
Mailing Fax Number 7065600903
Enumeration Date 2006-11-10
Last Update Date 2012-12-07
Authorized Official Name MIKE HODNICK (PRACTICE MANAGER)
Authorized Official Telephone 7065602273
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC GRPGPA904 05

Office Location

Street Address 3736 MIKE PADGETT HWY STE A
City AUGUSTA
State GA
Zip Code 30906-0720

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134142474 Sean T Lynch Family Medicine 3736 Mike Padgett Hwy Ste A, Augusta, GA 30906-0720 2006-07-26
1861874380 Lauren Daniels Student in an Organized Health Care Education/Training Program 3736 Mike Padgett Hwy Ste A, Augusta, GA 30906 2015-06-20
1770985442 Christy E Sharbel Physician Assistant 3736 Mike Padgett Hwy Ste A, Augusta, GA 30906-0720 2014-09-24
1467680983 Joshua Alton Lane Pediatrics 3736 Mike Padgett Hwy Ste A, Augusta, GA 30906-0720 2009-06-23
1578724779 James Patrick Walton Family Medicine 3736 Mike Padgett Hwy Ste A, Augusta, GA 30906-0720 2008-06-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255969432 Barton Chapel Dental Group, LLC Dentist 2755 Barton Chapel Road, Augusta, GA 30906 2020-04-01
1255897419 Pediatric Mobility Innovations Durable Medical Equipment & Medical Supplies 3114 Augusta Tech Drive Suite 404, Augusta, GA 30906 2019-02-13
1023539731 Kristy Lee Gibbs Registered Nurse 3421 Mike Padgett Hwy Bldg C, Augusta, GA 30906 2017-07-03
1194186031 Clifton Nane Williams Counselor 3230 Hampton Circle, Augusta, GA 30906 2016-03-18
1376929661 Catherine A. Ganzy Social Worker 3405 Mike Padgett Highway; Building 201, East Central Regional Hosptial, Augusta, GA 30906 2015-08-10
1962810358 Fatemeh Azadeh Paziraei Dentist 1631 Gordon Highway, Augusta Smiles Youth Dentistry, Augusta, GA 30906 2014-07-29
1568809770 Brandon Jennings Occupational Therapy Assistant 2388 Old Mcduffie Rd, Augusta, GA 30906 2013-05-29
1811266646 Eddie P Johnson IIi, Dmd, PC Preferred Provider Organization 2755 Barton Chapel Rd, Augusta, GA 30906 2011-12-23
1366739021 Kerensa A Cooks Registered Nurse 3421 Mike Padgett Highway, Serenity Behavioral Health Systems, Augusta, GA 30906 2011-07-01
1265737423 Pidcock Chiropractic, Inc. Chiropractor 3028 Peach Orchard Rd., Augusta, GA 30906 2011-01-20
Find all providers in zip 30906

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649889874 Kateri Jeffery Family Medicine 12 Shuman Ave Ste 3, Augusta, ME 04330-6020 2020-07-23
1548885783 Candace Clinton Family Medicine 1120 15th St # Hb4000, Augusta, GA 30912-0004 2020-06-13
1750906012 Nand Vinod Patel Family Medicine 3039 Washington Rd, Augusta, GA 30907-3829 2020-06-12
1114542396 Lauren C Robinson Family Medicine 1120 15th St # Hb3000e, Augusta, GA 30912-0004 2020-06-12
1831714211 Soren Knudsen Estvold Family Medicine 1120 15th St # Hb-4000, Augusta, GA 30912-0004 2020-06-11
1548885940 Hannah Gullickson Folsom Family Medicine 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 2020-06-11
1942793005 Rebecca Tate Jones Family Medicine 1120 15th St Augusta Ga 30912, Augusta, GA 30912-0001 2018-06-12
1811480411 Sonya Janice Chelliah Family Medicine 1120 15th St # Hb3020, Augusta, GA 30912-0004 2018-06-08
1447741269 Akua E Asiamah Family Medicine 1120 15th St Augusta University, Augusta, GA 30912-0001 2018-05-29
1457766800 Susan B. Allen Memorial Hospital Family Medicine 401 W 7th Ave, Augusta, KS 67010-1309 2014-06-24
Find all providers in AUGUSTA

Competitor

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City AUGUSTA
Zip Code 30906

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Dataset Information

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.

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