MR. FRED JASON KIGHT (NPI# 1437142072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437142072 |
| Entity Type | Individual |
| Full Name | MR. FRED JASON KIGHT |
| Credential | M.D. |
| Practice Address |
1248 Augusta West Pkwy Augusta GA 30909-1854 |
| Practice Telephone | 7068630500 |
| Mailing Telephone | 7068630500 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 026572 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | BLUE CROSS BLUE SHIELD PR | 52047422-001 | 01 |
| GA | 00416446A | 05 |
| Street Address |
1248 AUGUSTA WEST PKWY |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30909-1854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912991902 | Dermatology and Skin Cancer Center of Augusta, P.C. | Dermatology | 1248 Augusta West Pkwy, Augusta, GA 30909-1854 | 2005-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513888 | Lauran Simpson | Behavior Technician | 1237 Augusta West Parkway, Augusta, GA 30909 | 2020-09-16 |
| 1487273884 | Still Perspectives Counseling LLC | Counselor | 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 | 2020-04-15 |
| 1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
| 1003452319 | Danny Robinson | Counselor | 2609 Commons Boulevard, Augusta, GA 30909 | 2019-11-21 |
| 1407498637 | Candice M Cruse | Social Worker | 2609 Commons Blvd, Augusta, GA 30909 | 2019-10-09 |
| 1902363385 | Mary D Jodon | Pharmacist | 3338 Wrightsboro Rd., Augusta, GA 30909 | 2019-02-21 |
| 1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
| 1124561766 | Sasha Latara Mccraw | Counselor | 7303 Palomino Court, Augusta, GA 30909 | 2016-11-30 |
| 1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
| 1811358955 | Theodora Mcleskey | Nurse Practitioner | 1215 George C. Wilson Drive, Augusta, GA 30909 | 2016-03-17 |
| Find all providers in zip 30909 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134568520 | Matthew Dean Belcher | Dermatology | 1120 15th St Fl 5, Augusta, GA 30912 | 2013-06-18 |
| 1073822607 | Edward Hardin Smith Jr. | Dermatology | 514 Winchester Dr, Augusta, GA 30909-3236 | 2010-09-30 |
| 1093972325 | Jeremiah Allan Miller IIi | Dermatology | 3624 J. Dewey Gray Circle, Suite 250, Augusta West Dermatology, Augusta, GA 30909 | 2008-05-22 |
| 1225235393 | Sarah Josephson Cely | Dermatology | 820 Saint Sebastian Way Ste 6c, Augusta, GA 30901-2640 | 2007-07-02 |
| 1649349978 | Augusta Dermatology Associates PC | Dermatology | 820 St Sebastian Way Ste 6c, Augusta, GA 30901 | 2006-11-08 |
| 1215923073 | Barry L Thompson | Dermatology | 2060 Central Ave, Augusta, GA 30904-4177 | 2005-09-26 |
| 1720516560 | James Petit | Dermatology | 1004 Chafee Ave, Augusta, GA 30904 | 2017-05-24 |
| 1801272968 | Augusta West Dermatology, LLC | Dermatology | 3624 J Dewey Gray Cir, Suite 250, Augusta, GA 30909-6584 | 2015-07-30 |
| 1427431048 | Rachel Marks Greenwood | Dermatology | 950 15th St, Augusta, GA 30901-2608 | 2015-07-01 |
| 1356738199 | Mario Maruthur | Dermatology | 1120 15th St, Augusta, GA 30912-1059 | 2015-04-20 |
| 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.