DR. NICHOLAS J. AGRESTI (NPI# 1669634010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669634010 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS J. AGRESTI |
| Credential | M.D. |
| Practice Address |
3217 4th St Brunswick GA 31520-3759 |
| Practice Telephone | 9122670058 |
| Practice Fax Number | 9122670061 |
| Mailing Telephone | 9122670058 |
| Mailing Fax Number | 9122670061 |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2017-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 068471 | GA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 4108003429 | CT | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
068471 | GA | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 068471 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003126825B | 05 | |
| GA | 003126825C | 05 | |
| SC | GA1380 | 05 | |
| WELLCARE | 707853 | 01 | |
| GA | 003126825A | 05 | |
| AMERIGROUP | 01706047 | 01 | |
| GA | RAILROAD MEDICARE | P01089555 | 01 |
| Street Address |
3217 4TH ST |
| City | BRUNSWICK |
| State | GA |
| Zip Code | 31520-3759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962403766 | David C Whitehead | Internal Medicine | 3217 4th St, Brunswick, GA 31520-3759 | 2005-08-03 |
| 1790185387 | Glynn Anesthesia Associates, Inc. | Nurse Anesthetist, Certified Registered | 3217 4th St, Brunswick, GA 31520-3759 | 2014-09-02 |
| 1265861439 | Levinchi C. Oglesby | Nurse Practitioner | 3217 4th St, Brunswick, GA 31520-3759 | 2013-11-07 |
| 1114223690 | Deborah Ann Lindahl | Nurse Practitioner | 3217 4th St, Brunswick, GA 31520-3759 | 2011-02-01 |
| 1902001001 | Sandra S Daniell | Physician Assistant | 3217 4th St, Brunswick, GA 31520-3759 | 2007-06-19 |
| 1730221409 | Digestive Associates, Inc. | Internal Medicine | 3217 4th St, Brunswick, GA 31520-3759 | 2007-02-12 |
| 1407952567 | Coastal Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | 3217 4th St, Brunswick, GA 31520-3759 | 2006-09-16 |
| 1922054410 | Brunswick Endoscopy Center, LLC | Clinic/Center | 3217 4th St, Brunswick, GA 31520-3759 | 2006-05-26 |
| 1548255920 | Huitt Everett Mattox IIi | Internal Medicine | 3217 4th St, Brunswick, GA 31520-3759 | 2005-09-13 |
| 1588659973 | Robin A Rittgers | Internal Medicine | 3217 4th St, Brunswick, GA 31520-3759 | 2005-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760953434 | David S Deuser Md & Associates PC | Psychiatry & Neurology | 7 Saint Andrews Court, Brunswick, GA 31520 | 2018-12-06 |
| 1063961845 | Irene Limon | Licensed Practical Nurse | 2009 Ellis Street, Brunswick, GA 31520 | 2016-09-22 |
| 1770936551 | Elaine Latimer-tandy | Counselor | 1801 Gloucester St Ste E, Brunswick, GA 31520 | 2016-07-18 |
| 1710336326 | Giva, Inc. | Home Health | 8 St Andrews Court, Brunswick, GA 31520 | 2016-06-06 |
| 1447618525 | Parmelee Eye Care LLC | Point of Service | 1909 Gloucester St, Brunswick, GA 31520 | 2016-02-04 |
| 1578947800 | Holly Diskin Kinsey | Nurse Practitioner | 3400 Parkwood Drive, Brunswick, GA 31520 | 2015-07-16 |
| 1679976419 | Miriam Hosey | Registered Nurse | 2747 Fourth Street, Glynn County Health Dept., Brunswick, GA 31520 | 2014-10-08 |
| 1558779348 | Tracey Renee Price | Internal Medicine | 3025 Shrine Rd Ste 290, Brunswick, GA 31520 | 2014-07-24 |
| 1770901951 | Candace Shepherd | Social Worker | 707 F Street, Brunswick, GA 31520 | 2014-04-03 |
| 1699193599 | Enrique Martinez, M.d., P.C. | Internal Medicine | 3114 A Shrine Road, Brunswick, GA 31520 | 2014-03-29 |
| Find all providers in zip 31520 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770791204 | Maya Merheb | Internal Medicine | 1299 Industrial Pkwy N Ste 110, Brunswick, OH 44212-6366 | 2007-05-18 |
| 1629284336 | Digestive Disease Consultants of Medina, Inc | Internal Medicine | 1299 Industrial Pkwy N, Suite 110, Brunswick, OH 44212-6367 | 2007-05-16 |
| 1780618660 | David B Myers | Internal Medicine | 1299 Industrial Parkway North, Brunswick, OH 44212 | 2006-07-10 |
| 1962403766 | David C Whitehead | Internal Medicine | 3217 4th St, Brunswick, GA 31520-3759 | 2005-08-03 |
| 1730221409 | Digestive Associates, Inc. | Internal Medicine | 3217 4th St, Brunswick, GA 31520-3759 | 2007-02-12 |
| 1245248970 | Brunswick Gastroenterology Associates | Internal Medicine | 121 Medical Center Dr, Suite 3400, Brunswick, ME 04011-2653 | 2006-08-05 |
| 1134144058 | Richard Beveridge | Internal Medicine | 121 Medical Center Dr, Suite 3400, Brunswick, ME 04011-2653 | 2006-07-12 |
| 1821022708 | Fadi N. Bashour | Internal Medicine | 1299 Industrial Parkway North, Brunswick, OH 44212 | 2006-07-10 |
| 1043267396 | Miguel R Arguedas - Brollo | Internal Medicine | 121 Medical Center Dr, Suite 3400, Brunswick, ME 04011-2653 | 2006-05-30 |
| 1093765372 | Gary Zartarian | Internal Medicine | 121 Medical Center Dr, Suite 3400, Brunswick, ME 04011-2653 | 2006-05-10 |
| Find all providers in BRUNSWICK | ||||
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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.