DR. STEPHEN JOHN AUGUSTINE (NPI# 1538120639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538120639 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN JOHN AUGUSTINE |
| Credential | D.O. |
| Practice Address |
100 Doctors Dr Ste I Douglas GA 31533-2211 |
| Practice Telephone | 9123836575 |
| Practice Fax Number | 9123836476 |
| Mailing Telephone | (912) 383-6575 |
| Mailing Fax Number | 9123836476 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 046666 | GA | Allopathic & Osteopathic Physicians |
| N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
046666 | GA | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
046666 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICAL LICENSE | 046666 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Doctors Dr Ste F, Douglas, GA 315332211 | 9123836575 | 9123836476 |
| 1622 Madison Ave, Tifton, GA 317943756 | 2293878061 | 2293885633 |
| 2804 N Oak St Ste C, Valdosta, GA 316025913 | 9123836575 | 9123836476 |
| Street Address |
100 DOCTORS DR STE I |
| City | DOUGLAS |
| State | GA |
| Zip Code | 31533-2211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164952602 | Gabrielle Alyse Oberry | Nurse Practitioner | 100 Doctors Dr Ste I, Douglas, GA 31533 | 2017-06-18 |
| 1538409651 | Joshua Hughes | Nurse Practitioner | 100 Doctors Dr Ste I, Douglas, GA 31533-2211 | 2013-02-26 |
| 1871852426 | Joshua Landon Vickers | Orthopaedic Surgery | 100 Doctors Dr Ste I, Douglas, GA 31533-2211 | 2012-05-16 |
| 1427337294 | Orthopedic Surgeons of Georgia LLC | Orthopaedic Surgery | 100 Doctors Dr Ste I, Douglas, GA 31533-2211 | 2011-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470964 | Swain Drug Company LLC | Pharmacy | 855 Bowens Mill Rd Sw Suite E, Douglas, GA 31533 | 2020-09-03 |
| 1811528649 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 211 North Street, Douglas, GA 31533 | 2020-01-30 |
| 1952940793 | Teresa Smith | Pharmacist | 901 W Ward St, Douglas, GA 31533 | 2019-12-26 |
| 1447641048 | Jennifer Spivey | Nurse Practitioner | 326 Shirley Avenue, Douglas, GA 31533 | 2015-02-18 |
| 1972914497 | Jessica Lynne Courson | Nurse Practitioner | 903 West Ward Street, Suite B, Douglas, GA 31533 | 2014-05-19 |
| 1063840296 | South Central Primary Care Center | Clinic/Center | 303 Shirley Ave, Ste B, Douglas, GA 31533 | 2013-10-25 |
| 1336411008 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 118 Coweta Avenue South, Douglas, GA 31533 | 2012-01-27 |
| 1346482700 | V and V Clinic | Pediatrics | 1020 West Bryan Street, Douglas, GA 31533 | 2009-04-01 |
| 1063650406 | Jayla Snipes Bullock | Speech-Language Pathologist | 618 Bowens Mill Road Sw, Douglas, GA 31533 | 2009-01-22 |
| 1417112707 | Southern Community Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 315 S. Gaskin Ave, Douglas, GA 31533 | 2008-07-25 |
| Find all providers in zip 31533 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770708372 | A. Joseph Hoski | Orthopaedic Surgery | 177 St. Peter's Drive, Douglas, MI 49406-1027 | 2007-04-17 |
| 1104883461 | Thunder Basin Orthopaedics and Sports Medicine PC | Orthopaedic Surgery | 808 Riverbend Dr, Douglas, WY 82633-2054 | 2006-04-28 |
| 1437125812 | Kenneth P Depersio | Orthopaedic Surgery | 100 Doctors Dr Ste F, Douglas, GA 31533-2211 | 2006-02-27 |
| 1932198686 | James William Barber | Orthopaedic Surgery | 110 Shirley Avenue, Douglas, GA 31533 | 2005-10-17 |
| 1184053043 | Southeastern Orthopedics | Orthopaedic Surgery | 110 Shirley Avenue, Douglas, GA 31533 | 2013-11-01 |
| 1871852426 | Joshua Landon Vickers | Orthopaedic Surgery | 100 Doctors Dr Ste I, Douglas, GA 31533-2211 | 2012-05-16 |
| 1427337294 | Orthopedic Surgeons of Georgia LLC | Orthopaedic Surgery | 100 Doctors Dr Ste I, Douglas, GA 31533-2211 | 2011-08-11 |
| 1437356813 | Laura L Tharp | Orthopaedic Surgery | 100 Doctors Dr, Suite 204, Douglas, GA 31533-2210 | 2007-06-29 |
| 1265536437 | Southeastern Orthopedics | Orthopaedic Surgery | 110 Shirley Avenue, Douglas, GA 31533 | 2006-09-11 |
| 1386653061 | Hewatt M Sims | Orthopaedic Surgery | 100 Doctors Dr Ste F, Douglas, GA 31533-2211 | 2006-08-05 |
| Find all providers in DOUGLAS | ||||
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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.