| Champion Orthopedics | |
|
1706 Magnolia Way Augusta GA 30909-9481 | |
| (706) 210-7529 | |
| (706) 312-7610 |
| Full Name | Champion Orthopedics |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 1706 Magnolia Way, Augusta, Georgia |
| Authorized Official Name and Position | Patricia A. Kinney (ADMINISTRATOR) |
| Authorized Official Contact | 7062107529 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Champion Orthopedics 1706 Magnolia Way Augusta GA 30909-9481 Ph: (706) 210-7529 | Champion Orthopedics 1706 Magnolia Way Augusta GA 30909-9481 Ph: (706) 210-7529 |
| NPI Number | 1043351703 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 02/07/2015 |
| Medicare PECOS PAC ID | 6204817232 |
|---|---|
| Medicare Enrollment ID | O20040526000797 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043351703 | NPI | - | NPPES |
| 300034841A | Medicaid | GA | |
| CJ3550 | Other | SC | RAILROAD MEDICARE |
| 30003484LA | Medicaid | GA | |
| GPA745 | Medicaid | SC |
| Provider Name | Jacob Allan Goodrich |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700847399 PECOS PAC ID: 3375534969 Enrollment ID: I20040521000722 |
| Provider Name | Richard J Kelly |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508820424 PECOS PAC ID: 4082689385 Enrollment ID: I20040831000678 |
| Provider Name | Alexander Denez Collins |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871545475 PECOS PAC ID: 7012804651 Enrollment ID: I20050719000394 |
| Provider Name | Dana L Jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972527984 PECOS PAC ID: 1951300797 Enrollment ID: I20061205000550 |
| Provider Name | Whitney D Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619927357 PECOS PAC ID: 1850302084 Enrollment ID: I20070106000104 |
| Provider Name | Edward Michael Crosland |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366403958 PECOS PAC ID: 8123190477 Enrollment ID: I20080702000454 |
| Provider Name | Robert C. Gambrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952353542 PECOS PAC ID: 9739238023 Enrollment ID: I20100120000428 |
| Provider Name | David Brian Minter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831140581 PECOS PAC ID: 8325125230 Enrollment ID: I20100121000083 |
| Provider Name | Jewell Brent Duncan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457303026 PECOS PAC ID: 4688600174 Enrollment ID: I20100121000093 |
| Provider Name | Andrew William Torrance |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629138698 PECOS PAC ID: 9931396736 Enrollment ID: I20101206000983 |
| Provider Name | Elizabeth Mcgahee Heath |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205125648 PECOS PAC ID: 2466637665 Enrollment ID: I20110504000186 |
| Provider Name | Melonie Mcbride |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366811036 PECOS PAC ID: 5092018382 Enrollment ID: I20160120001363 |
| Provider Name | Laura Lynn Holshouser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104277698 PECOS PAC ID: 1456636919 Enrollment ID: I20170323001562 |
| Provider Name | Justin Michael Head |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598105140 PECOS PAC ID: 2961722921 Enrollment ID: I20190620001258 |
Infectious Disease Consultants Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 820 St. Sebastian Way, Suite 4a, Augusta, GA 30901 Phone: 706-724-4376 Fax: 706-731-5289 | |
Augusta Hypertention, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1021 15th St Ste 2, Bio Tech Park, Augusta, GA 30901 Phone: 706-722-4688 Fax: 706-722-8194 | |
Welcome Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 Davis Rd Ste 4a, Augusta, GA 30907 Phone: 706-504-9321 | |
Reba Brown Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 Pleasant Home Rd Ste A, Augusta, GA 30907 Phone: 706-364-7398 | |
Benjamin L. Rucker M.d. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1138 Druid Park Ave, Suite B, Augusta, GA 30904 Phone: 706-733-9447 Fax: 706-738-0863 | |
Neighborhood Improvement Project Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2300 Wrightsboro Rd, Augusta, GA 30904 Phone: 706-790-4440 |