JOSEPH M STILL BURN CENTERS, INC (NPI# 1689005233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689005233 |
| Entity Type | Organization |
| Organization Name | JOSEPH M STILL BURN CENTERS, INC |
| Other Organization Name | ACUTE SURGICAL CARE, LLC |
| Practice Address |
3647 J Dewey Gray Cir Ste 200 Augusta GA 30909-2205 |
| Mailing Address |
Po Box 3548 Augusta GA 30914-3548 |
| Practice Telephone | 7065049712 |
| Practice Fax Number | 7065049703 |
| Mailing Telephone | 7068639595 |
| Mailing Fax Number | 7064477111 |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2019-05-30 |
| Authorized Official Name | DR. ROBERT F MULLINS (CEO) |
| Authorized Official Telephone | 7068639595 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| ACUTE SURGICAL CARE, LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215904909 | Joseph M Still Burn Centers, Inc | Specialist | 3675 J Dewey Gray Circle, Suite 300, Augusta, GA 30909 | 2006-03-02 |
| 1174096044 | Joseph M Still Burn Centers, Inc | Specialist | 9313 Medical Plaza Dr Ste 102, Charleston, SC 29406-9153 | 2019-01-03 |
| Street Address |
3647 J DEWEY GRAY CIR STE 200 |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30909-2205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437126075 | Paul L Coffman | Physician Assistant | 3647 J Dewey Gray Cir Ste 200, Augusta, GA 30909-2205 | 2006-03-02 |
| 1346893161 | Jody Christopher Criswell | Nurse Practitioner | 3647 J Dewey Gray Cir Ste 200, Augusta, GA 30909-2205 | 2019-07-21 |
| 1295291862 | Cynthia Anne Marshall | Nurse Practitioner | 3647 J Dewey Gray Cir Ste 200, Augusta, GA 30909-2205 | 2019-02-19 |
| 1568848109 | Jacquelyn Mckinney Kalv | Nurse Practitioner | 3647 J Dewey Gray Cir Ste 200, Augusta, GA 30909-2205 | 2015-08-05 |
| 1487081261 | Phyllis Pelfrey Costello | Nurse Practitioner | 3647 J Dewey Gray Cir Ste 200, Augusta, GA 30909-2205 | 2013-10-11 |
| 1013350131 | Mohammed Almzayyen | Surgery | 3647 J Dewey Gray Cir Ste 200, Augusta, GA 30909-2205 | 2013-04-08 |
| 1447512710 | Jeanne Ann Haid | Nurse Practitioner | 3647 J Dewey Gray Cir Ste 200, Augusta, GA 30909-2205 | 2012-06-13 |
| 1558652032 | James Christopher Bardoner | Surgery | 3647 J Dewey Gray Cir Ste 200, Augusta, GA 30909-2205 | 2011-05-02 |
| 1225366776 | Jennifer Key | Nurse Practitioner | 3647 J Dewey Gray Cir Ste 200, Augusta, GA 30909-2205 | 2009-11-20 |
| 1578720629 | Andrew Douglas Kastello | Surgery | 3647 J Dewey Gray Cir Ste 200, Augusta, GA 30909-2205 | 2008-05-16 |
| Find all providers in the same location | ||||
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164056859 | Bimal R Shah Md PC | Specialist | 820 Saint Sebastian Way Ste 2a, Augusta, GA 30901-2636 | 2020-03-03 |
| 1407319676 | Tavories Ivey Sr. | Specialist | 4409 Silverton Rd, Augusta, GA 30909-9122 | 2019-04-12 |
| 1346708849 | Debra Imani Simms | Specialist | 519 Pleasant Home Rd Ste A1, Augusta, GA 30907-0545 | 2019-03-04 |
| 1821522715 | Amber Mccray | Specialist | 270 Bobby Jones Expy Ste 158, Augusta, GA 30907-3086 | 2017-04-18 |
| 1508231978 | Robert Jason Mitchell | Specialist | 950 15th St Rm 3c164, Augusta, GA 30901-2608 | 2015-12-10 |
| 1548654411 | Donecia Perrin-sullivan | Specialist | 524 Shartom Dr, Augusta, GA 30907-4751 | 2015-03-27 |
| 1396133153 | Veronica Ann Mccarthy | Specialist | 66 Hilltop Ln, Augusta, MI 49012-9502 | 2015-01-02 |
| 1225379738 | Dawn K Johnson | Specialist | 901 Bridge Creek Ln, Augusta, WI 54722-2603 | 2013-03-07 |
| 1962748210 | Helen Bryngelson | Specialist | 3581 Stevens Way, Augusta, GA 30907-9560 | 2012-12-13 |
| 1831469899 | Tanya Bernadette Quarterman | Specialist | 153 Hospital St Ste 13, Augusta, ME 04330 | 2012-01-09 |
| 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.