JAMES PETIT (NPI# 1720516560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720516560 |
| Entity Type | Individual |
| Full Name | JAMES PETIT |
| Credential | MD |
| Practice Address |
1004 Chafee Ave Augusta GA 30904 |
| Mailing Address |
1120 15th St Augusta GA 30912-0004 |
| Practice Telephone | 7067216321 |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2018-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 009071 | GA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 009071 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 009071 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336654789 | James Petit | Behavior Technician | 921 Lyons Rd Apt 3202, Coconut Creek, FL 33063-6721 | 2017-12-07 |
| 1851393748 | James Michael Petit | Psychiatry & Neurology | 20 N Grand Ave, Fort Thomas, KY 41075-1755 | 2005-08-11 |
| 1023277951 | James Petit | Internal Medicine | 6701 N Charles St, Baltimore, MD 21204-6808 | 2008-06-05 |
| Street Address |
1004 CHAFEE AVE |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
| 1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
| 1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
| 1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
| 1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
| 1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
| 1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
| 1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
| 1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
| 1396012852 | Servicorp Resource Center, Inc. | Psychologist | 1904 Highland Avenue, Augusta, GA 30904 | 2011-11-28 |
| Find all providers in zip 30904 | ||||
| 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 |
| 1437142072 | Fred Jason Kight | Dermatology | 1248 Augusta West Pkwy, Augusta, GA 30909-1854 | 2005-08-30 |
| 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 | ||||
Please comment or provide details below to improve the information on JAMES PETIT.
| 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.