DR. CLINTON DONALD DICKERT (NPI# 1326309196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326309196 |
| Entity Type | Individual |
| Full Name | DR. CLINTON DONALD DICKERT |
| Credential | M.D. |
| Practice Address |
1226 Dantignac St Augusta GA 30901-2788 |
| Mailing Address |
9 Oakleaf Dr North Augusta SC 29860-9721 |
| Practice Telephone | 7069220600 |
| Mailing Telephone | 8032928227 |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2020-04-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 074576 | GA | Allopathic & Osteopathic Physicians |
| 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 |
| 1629206297 | Chelsea Fuhr Martin | Internal Medicine | 1226 Dantignac St, Augusta, GA 30901-2788 | 2009-06-23 |
| 1174716989 | Christ Community Health Services Augusta, Inc. | Dentist | 1226 Dantignac St, Augusta, GA 30901-2788 | 2007-08-24 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| 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 | ||||
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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.