AUGUSTA PEDIATRIC CLINIC, PC (NPI# 1952486003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952486003 |
| Entity Type | Organization |
| Organization Name | AUGUSTA PEDIATRIC CLINIC, PC |
| Practice Address |
3540 Wheeler Rd Suite 302 Augusta GA 30909-1871 |
| Practice Telephone | 7067370111 |
| Practice Fax Number | 7067370442 |
| Mailing Telephone | 7067370111 |
| Mailing Fax Number | 7067370442 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JOHN DAVID ALLEN (PRESIDENT) |
| Authorized Official Telephone | 7067370111 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
3540 WHEELER RD SUITE 302 |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30909-1871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487195293 | Quality In Home Care, Inc. | Nursing Care | 3540 Wheeler Rd, Suite 619, Augusta, GA 30909-1871 | 2017-03-13 |
| 1053704072 | Stephanie Blackett Nichols | Social Worker | 3540 Wheeler Rd, Suite 619, Augusta, GA 30909-1871 | 2015-03-16 |
| 1194115717 | Creating Hope and Needed Care for Everyone, Inc | Community/Behavioral Health | 3540 Wheeler Rd, Suite 515, Augusta, GA 30909-1871 | 2015-02-03 |
| 1578960456 | Pathology Consultants of Augusta, P.C. | Clinical Medical Laboratory | 3540 Wheeler Rd, Suite 617, Augusta, GA 30909-1871 | 2014-11-20 |
| 1194128017 | Seajoy Family Service Center | Community/Behavioral Health | 3540 Wheeler Rd, Suite 508, Augusta, GA 30909-1871 | 2014-10-06 |
| 1891116448 | Terri Brown | Specialist | 3540 Wheeler Rd, Suite 203, Augusta, GA 30909-1871 | 2013-12-29 |
| 1033474010 | Stephanie D Grant | Counselor | 3540 Wheeler Rd, Suite 619, Augusta, GA 30909-1871 | 2012-07-06 |
| 1215291042 | Life Management Group | Counselor | 3540 Wheeler Rd, Suite 619, Augusta, GA 30909-1871 | 2012-06-26 |
| 1932465366 | Rachel Leigh Wolfe | Counselor | 3540 Wheeler Rd, Suite 619, Augusta, GA 30909-1871 | 2012-04-10 |
| 1447541446 | Joseph Augustin Md LLC | Physical Medicine & Rehabilitation | 3540 Wheeler Rd, Suite 508, Augusta, GA 30909-1871 | 2011-04-25 |
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134745953 | Molly C Shields | Pediatrics | Dugas Building Bg 107 1120 15th Street, Augusta, GA 30912-0001 | 2020-06-17 |
| 1033734918 | Lauren Wooten Smith | Pediatrics | Chog Pediatric Residency Program 1120 15th Street, Augusta, GA 30912-0001 | 2020-06-16 |
| 1487211199 | Ashley Elizabeth Miller | Pediatrics | 1146 Harper Street, Augusta, GA 30912-0001 | 2019-05-29 |
| 1952968737 | Kayla M. Lasota | Pediatrics | 11230 115th St Ae3042, Augusta, GA 30912 | 2019-05-28 |
| 1558824797 | John-david Constantine Bruce | Pediatrics | Dugas Building (bg-1071) 1120 15th Street, Augusta, GA 30912-0001 | 2019-04-12 |
| 1306229182 | Alexander James Eason | Pediatrics | Georgia Regents Medical Ctr, 1120 15th Street, Augusta, GA 30912-0001 | 2015-06-30 |
| 1184945339 | Shannon Nicole Myers | Pediatrics | 3727 Executive Center Dr, Augusta, GA 30907-2398 | 2010-06-22 |
| 1801113386 | Gerard Rubin | Pediatrics | 6 E Chestnut St Ste 310, Augusta, ME 04330-5717 | 2010-04-23 |
| 1013246487 | William Weston IIi | Pediatrics | 93 Bristlecone Ct., Augusta, GA 30909-1861 | 2009-12-15 |
| 1225285372 | Mustafa Musa Nimir | Pediatrics | 1120 15th St Ae-3042, Medical College of Georgia, Augusta, GA 30912-5000 | 2008-08-20 |
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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.