DR. SAMANTHA LEIGH MAHON (NPI# 1306468962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306468962 |
| Entity Type | Individual |
| Full Name | DR. SAMANTHA LEIGH MAHON |
| Other Name | MISS SAMANTHA LEIGH BRUCE |
| Credential | MD |
| Practice Address |
1120 15th St # Af-1016 Augusta GA 30912-0006 |
| Practice Telephone | 7067214467 |
| Practice Fax Number | 7067219081 |
| Mailing Telephone | 7067214467 |
| Mailing Fax Number | 7067219081 |
| Enumeration Date | 2020-05-17 |
| Last Update Date | 2020-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 12016 | GA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568770733 | Samantha Holly Mahon | Emergency Medical Technician, Paramedic | 348 Kristins Dr, Saint Marys, GA 31558-1811 | 2010-09-21 |
| 1225488729 | Samantha Mahon | Licensed Practical Nurse | 31 Brockway Pl, Brockport, NY 14420-2207 | 2016-06-15 |
| 1790129799 | Samantha B. Mahon | Counselor | 800 W Williams St, Suite 231-c, Apex, NC 27502-5203 | 2013-04-20 |
| Street Address |
1120 15TH ST # AF-1016 |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30912-0006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730356775 | Deborah Marinca Huang | Emergency Medicine | 1120 15th St # Af-1016, Augusta, GA 30912-5812 | 2008-05-09 |
| 1265057590 | Jonathan David Rivers | Emergency Medicine | 1120 15th St # Af-1016, Augusta, GA 30912-0006 | 2020-06-12 |
| 1134744493 | Matthew Paul Weirich | Emergency Medicine | 1120 15th St # Af-1016, Augusta, GA 30912-0004 | 2020-06-12 |
| 1437786308 | Daniel Ricci | Student in an Organized Health Care Education/Training Program | 1120 15th St # Af-1016, Augusta, GA 30912-0006 | 2020-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885940 | Hannah Gullickson Folsom | Family Medicine | 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 | 2020-06-11 |
| 1487278909 | Robert Kennedy | Internal Medicine | Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 | 2020-06-01 |
| 1952968737 | Kayla M. Lasota | Pediatrics | 11230 115th St Ae3042, Augusta, GA 30912 | 2019-05-28 |
| 1003379280 | Kayla Cox | Internal Medicine | 1120 15th St Bi5070, Augusta, GA 30912 | 2019-04-13 |
| 1619435740 | Justin Ray Mackert | Student in an Organized Health Care Education/Training Program | Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 | 2019-03-07 |
| 1417444167 | Victor Celis | Dentist | John Wesley Gilbert Dr, Augusta, GA 30912 | 2018-04-18 |
| 1487157921 | Julie Ann Matsen | Student in an Organized Health Care Education/Training Program | 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 | 2018-03-12 |
| 1497287031 | Luke Yuung-jier Chang | Ophthalmology | 1120 15th St # Ba2720, Augusta, GA 30912 | 2017-04-02 |
| 1821537622 | Lashawn Kay Boone | Nurse Practitioner | 1445 Harper St, Augusta, GA 30912 | 2017-02-14 |
| 1134675564 | Arnab Saha | Internal Medicine | 1120 15 Th St., Augusta, GA 30912 | 2016-08-26 |
| Find all providers in zip 30912 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215310768 | John Bates Mccutcheon | Emergency Medicine | 3138 Westminster Dr, Augusta, GA 30909-3242 | 2015-07-01 |
| 1891114492 | Darrel Douglas | Emergency Medicine | 1120 15th St # Af-1020, Augusta, GA 30912-0004 | 2014-04-10 |
| 1740624774 | Desiree Brooks | Emergency Medicine | 1507 Troupe St, Apt #5, Augusta, GA 30904-5099 | 2013-04-21 |
| 1316258932 | Charles Robert Sheldon | Emergency Medicine | 2704 Smith Creek Rd, Augusta, GA 30909-2322 | 2010-06-29 |
| 1679899215 | Beau Philip Gedrick | Emergency Medicine | 1102 15th St, Augusta, GA 30912-0004 | 2010-04-07 |
| 1245492958 | Abhijit Singh | Emergency Medicine | 1120 15th Street Augusta University Medical Center, Augusta, GA 30912-2504 | 2008-06-25 |
| 1487870168 | Suzanne Joy Atteberry | Emergency Medicine | 1120 15th St Rm Af-2056, Augusta, GA 30912-0004 | 2007-04-18 |
| 1427086909 | Tricia-may Villanueva Harris | Emergency Medicine | 3651 Wheeler Road, Augusta, GA 30909 | 2006-06-30 |
| 1093758724 | George Clark Pursley | Emergency Medicine | 1219 West Wheeler Pkwy, Suite A, Augusta, GA 30909-1867 | 2006-06-13 |
| 1760434757 | Wakili Salihu Yarima | Emergency Medicine | 1120 15th Street Af 2036, Emergency Medicine Department, Medical College of Georgia, Augusta, GA 30912 | 2006-05-17 |
| 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.