CHRIST COMMUNITY HEALTH SERVICES AUGUSTA, INC. (NPI# 1174716989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174716989 |
| Entity Type | Organization |
| Organization Name | CHRIST COMMUNITY HEALTH SERVICES AUGUSTA, INC. |
| Practice Address |
1226 Dantignac St Augusta GA 30901-2788 |
| Mailing Address |
Po Box 2344 Augusta GA 30903-2344 |
| Practice Telephone | 7069220600 |
| Practice Fax Number | 7069220603 |
| Mailing Telephone | 7069220600 |
| Mailing Fax Number | 7069220604 |
| Enumeration Date | 2007-08-24 |
| 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 |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | Dental Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GPA951 | 05 | |
| GA | 194208754A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205956877 | Christ Community Health Services Augusta, Inc. | Internal Medicine | 519 Scotts Way, Augusta, GA 30909-3237 | 2007-03-29 |
| 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 |
1226 DANTIGNAC ST |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30901-2788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063412823 | Robert Allan Campbell | Internal Medicine | 1226 Dantignac St, Augusta, GA 30901-2788 | 2005-07-22 |
| 1528699980 | Kelsey Sanders Vason | Registered Nurse | 1226 Dantignac St, Augusta, GA 30901-2788 | 2020-02-03 |
| 1255895975 | Ashley Stanczak Willis | Nurse Practitioner | 1226 Dantignac St, Augusta, GA 30901-2788 | 2019-01-27 |
| 1669984084 | Emily Underhill | Nurse Practitioner | 1226 Dantignac St, Augusta, GA 30901-2788 | 2017-10-25 |
| 1306291877 | Ryan Mark Rister | Family Medicine | 1226 Dantignac St, Augusta, GA 30901-2788 | 2016-05-03 |
| 1912395641 | Carroll Wesson Foster | Social Worker | 1226 Dantignac St, Augusta, GA 30901-2788 | 2015-01-05 |
| 1326390741 | Sarah Sanders Eckley | Physician Assistant | 1226 Dantignac St, Augusta, GA 30901-2788 | 2012-10-09 |
| 1588912703 | Christ Community Health Services Augusta, Inc | Clinic/Center | 1226 Dantignac St, Augusta, GA 30901-2788 | 2012-08-20 |
| 1326309196 | Clinton Donald Dickert | Family Medicine | 1226 Dantignac St, Augusta, GA 30901-2788 | 2012-06-07 |
| 1629206297 | Chelsea Fuhr Martin | Internal Medicine | 1226 Dantignac St, Augusta, GA 30901-2788 | 2009-06-23 |
| 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 |
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| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1861632382 | Expresshealth Inc. | Clinic/Center | 1220 George C. Wilson Drive, Suite A, Augusta, GA 30909-3471 | 2009-02-24 |
| 1902824618 | Neighborhood Improvement Project, Inc. | Clinic/Center | 2467 Golden Camp Rd, Augusta, GA 30906-5515 | 2006-07-18 |
| 1568766293 | Pebe Med, Inc | Clinic/Center | 1267 Interstate Pkwy, Augusta, GA 30909-6481 | 2011-01-10 |
| 1669637401 | Dr Spearman, M.d., P.C. | Clinic/Center | 820 Saint Sebastian Way, Suite 6 D, Augusta, GA 30901-2643 | 2008-07-21 |
| 1306029434 | Wrightsboro Medical Center | Clinic/Center | 3207 Wrightsboro Rd, Augusta, GA 30909-2941 | 2007-12-12 |
| 1558544684 | Beulah Grove Community Resource Center | Clinic/Center | 1448 Lee Beard Way, Augusta, GA 30901-3414 | 2007-12-12 |
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| 1477192219 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 5163 Thompson Bridge Rd, Murrayville, GA 30564-1930 | 2019-12-26 |
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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.