AUGUSTA DEVELOPMENTAL SPECIALISTS, LLC (NPI# 1932487691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932487691 |
| Entity Type | Organization |
| Organization Name | AUGUSTA DEVELOPMENTAL SPECIALISTS, LLC |
| Practice Address |
1303 D'antignac Street Suite 2100 Augusta GA 30901 |
| Practice Telephone | 7063960600 |
| Practice Fax Number | 7063960606 |
| Mailing Telephone | 7063960600 |
| Mailing Fax Number | 7063960606 |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2015-02-13 |
| Authorized Official Name | MS. KIMBERLY VERNELL DONALDSON (OFFICE MANAGER) |
| Authorized Official Telephone | 7063960604 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
044184 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003115063A | 05 |
| Street Address |
1303 D'ANTIGNAC STREET SUITE 2100 |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255441994 | Karen L. Carter | Pediatrics | 1303 D'antignac Street, Suite 2100, Augusta, GA 30901 | 2006-08-30 |
| 1134698715 | Jasmine Keanna Dawson | Occupational Therapist | 1303 D'antignac Street, Suite 2100, Augusta, GA 30901-2777 | 2018-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477019925 | Courtney Erin Fairchild | Physician Assistant | 1101 15th Street, Pa-224, Augusta, GA 30901 | 2019-02-20 |
| 1699263921 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1022 Walton Way Spc C, Augusta, GA 30901 | 2018-04-23 |
| 1235684192 | Heather Raborn | Allergy & Immunology | 1350 Walton Way Ste 5100, Augusta, GA 30901 | 2016-08-22 |
| 1457690745 | Rehab Without Walls, Inc. | In Home Supportive Care | 820 St Sebastin Way Se, Augusta, GA 30901 | 2013-02-06 |
| 1861788051 | Christina Weidner Belcher | Physical Therapist | 1246 Pine St, Augusta, GA 30901 | 2011-06-25 |
| 1750695979 | C H Martin Company | Durable Medical Equipment & Medical Supplies | 1456 Walton Way Suite B, Augusta, GA 30901 | 2010-07-29 |
| 1366773905 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4027 Wheeler Rd, Augusta, GA 30901 | 2010-01-21 |
| 1851622484 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1715 Forest Drive, Augusta, GA 30901 | 2010-01-21 |
| 1760615280 | Absolute Family PCh | Point of Service | 2035 Old Savannah Rd., Augusta, GA 30901 | 2009-09-01 |
| 1073740643 | Ryan J Altenburg | Internal Medicine | 820 Saint Sebastian Way Ste 8a, Augusta, GA 30901 | 2009-06-22 |
| Find all providers in zip 30901 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154956621 | Georgia Center for Autism and Developmental Pediatrics, LLC | Pediatrics | 6065 Roswell Rd Ste 470, Sandy Springs, GA 30328-4067 | 2020-03-05 |
| 1790338374 | Jametria Rae Floyd | Pediatrics | 1008 Rowanshyre Cir, Mcdonough, GA 30253-2918 | 2019-07-22 |
| 1841594280 | Maria Victoria Novoa Uriarte | Pediatrics | 1920 Briarcliff Rd, Atlanta, GA 30329 | 2010-12-28 |
| 1194951764 | Margaret Ann Ellis | Pediatrics | 310 Eisenhower Drive, Building 5, Savannah, GA 31406 | 2009-06-09 |
| 1144307448 | Nancy Carnevale | Pediatrics | 1201 Burleyson Rd, Dalton, GA 30720-3019 | 2006-11-01 |
| 1194834218 | Doris M Greenberg | Pediatrics | 5120 Paulsen Street, Savannah, GA 31405 | 2006-08-30 |
| 1982635546 | Georgina Peacock | Pediatrics | 1600 Clifton Road Mail Stop E-87, Centers for Disease Control and Prevention, Alanta, GA 30333 | 2006-07-05 |
| 1992754998 | Michelle L Kanney | Pediatrics | Emory School of Medicine 100 Woodruff Circle, Atlanta, GA 30322-0001 | 2006-05-08 |
| 1275590812 | Sonia Valita George | Pediatrics | 3535 Roswell Rd Ne, Suite #44, Marietta, GA 30062-8826 | 2006-04-27 |
| 1932741014 | Andi Michelle Dycus | Pediatrics | 1110 13th St Ste D, Columbus, GA 31901-2246 | 2019-10-10 |
| Find all providers with the same taxonomy | ||||
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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.