| Augusta Gastrointestinal Specialists Inc | |
|
820 Saint Sebastian Way Suite 2 D Augusta GA 30901-2643 | |
| (706) 722-1461 | |
| (706) 722-2767 |
| Full Name | Augusta Gastrointestinal Specialists Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 820 Saint Sebastian Way, Augusta, Georgia |
| Authorized Official Name and Position | Ronald Brown (OWNER, CEO) |
| Authorized Official Contact | 7067221461 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Augusta Gastrointestinal Specialists Inc 820 Saint Sebastian Way Suite 2 D Augusta GA 30901-2643 Ph: (706) 722-1461 | Augusta Gastrointestinal Specialists Inc 820 Saint Sebastian Way Suite 2 D Augusta GA 30901-2643 Ph: (706) 722-1461 |
| NPI Number | 1689707432 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7012999675 |
|---|---|
| Medicare Enrollment ID | O20040607000462 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689707432 | NPI | - | NPPES |
| G025517 | Other | GU | LICENSE |
| 1245277250 | Other | GA | NPI |
| GRP4596 | Other | GA | MEDICARE GROUP |
| GRP4596 | Other | GU | MEDICARE GROUP |
| 00918013A | Medicaid | GA | |
| 00283654B | Medicaid | GA | |
| 048164 | Other | GU | LICENSE |
| 1316984347 | Other | GA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | G025517 (Georgia) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | 048164 (Georgia) | Primary |
| Provider Name | Ronald Brown |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245277250 PECOS PAC ID: 0446254908 Enrollment ID: I20060914000409 |
| Provider Name | Ronald Brown |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326365156 PECOS PAC ID: 2365681723 Enrollment ID: I20180131003308 |
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Neighborhood Improvement Project Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2300 Wrightsboro Rd, Augusta, GA 30904 Phone: 706-790-4440 | |
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