| Christ Community Health Services Augusta, Inc. | |
| 1226 Dantignac St Augusta GA 30901-2788 | |
| (706) 922-0600 | |
| (706) 922-0603 | 
| Full Name | Christ Community Health Services Augusta, Inc. | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 1226 Dantignac St, Augusta, Georgia | 
| Authorized Official Name and Position | Ursula Shanerra Rosa (CREDENTIALING & PRIVILEGING MANAGER) | 
| Authorized Official Contact | 7069220600 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Christ Community Health Services Augusta, Inc. Po Box 31164 Augusta GA 30903-2964 Ph: (706) 922-0600 | Christ Community Health Services Augusta, Inc. 1226 Dantignac St Augusta GA 30901-2788 Ph: (706) 922-0600 | 
| NPI Number | 1174716989 | 
|---|---|
| Provider Enumeration Date | 08/24/2007 | 
| Last Update Date | 07/28/2025 | 
| Medicare PECOS PAC ID | 6608953633 | 
|---|---|
| Medicare Enrollment ID | O20080401000769 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1174716989 | NPI | - | NPPES | 
| GPA951 | Medicaid | SC | |
| 194208754A | Medicaid | GA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary | 
| Provider Name | Robert A Campbell | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1063412823 PECOS PAC ID: 7416990668 Enrollment ID: I20050608000459 | 
| Provider Name | Katherine A Driver | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1225088941 PECOS PAC ID: 7113956897 Enrollment ID: I20050812000197 | 
| Provider Name | Russ Robert Ayers | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1457556557 PECOS PAC ID: 9032287651 Enrollment ID: I20110125000351 | 
| Provider Name | Jeremiah J Wilson | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1285894352 PECOS PAC ID: 8123171022 Enrollment ID: I20110811000413 | 
| Provider Name | Karissa K Wilson | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1306006432 PECOS PAC ID: 9638222649 Enrollment ID: I20110812000278 | 
| Provider Name | Charles Scarborough | 
|---|---|
| Provider Type | Practitioner - Pediatric Medicine | 
| Provider Identifiers | NPI Number: 1285862706 PECOS PAC ID: 7517192677 Enrollment ID: I20131025000153 | 
| Provider Name | Emily Underhill John | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1669984084 PECOS PAC ID: 5597014308 Enrollment ID: I20180827003051 | 
| Provider Name | Ashley Stanczak Willis | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1255895975 PECOS PAC ID: 2567702566 Enrollment ID: I20190328001166 | 
| Provider Name | Patrick Kelly | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1033408232 PECOS PAC ID: 1355568676 Enrollment ID: I20190408000814 | 
| Provider Name | Carroll Wesson Foster | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1912395641 PECOS PAC ID: 7113279860 Enrollment ID: I20200520001272 | 
| Provider Name | Ryan Mark Rister | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1306291877 PECOS PAC ID: 8224328638 Enrollment ID: I20200722000760 | 
| Provider Name | Joshua A Dubose | 
|---|---|
| Provider Type | Practitioner - Dentist | 
| Provider Identifiers | NPI Number: 1184773053 PECOS PAC ID: 2567774052 Enrollment ID: I20201005000746 | 
| Provider Name | Kayla Renee Cochran | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1841692241 PECOS PAC ID: 4789095233 Enrollment ID: I20201204001572 | 
| Provider Name | Benjamin Swanson | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1528564135 PECOS PAC ID: 4981938552 Enrollment ID: I20210805000206 | 
| Provider Name | Angelique Mole | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1659877264 PECOS PAC ID: 2365776051 Enrollment ID: I20210924000943 | 
| Provider Name | Joseph Krakowiak | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1518316041 PECOS PAC ID: 4082982566 Enrollment ID: I20220627002011 | 
| Provider Name | Katherine Elizabeth Jackson | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1578299871 PECOS PAC ID: 3173999125 Enrollment ID: I20221018000056 | 
| Provider Name | Michael Valerio | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1487372512 PECOS PAC ID: 2062881063 Enrollment ID: I20221214001985 | 
| Provider Name | Yonisha Leigh Wimberly | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1679165716 PECOS PAC ID: 1254786817 Enrollment ID: I20231017002306 | 
| Provider Name | Morgan Washington | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1356047872 PECOS PAC ID: 5991150484 Enrollment ID: I20231019000286 | 
| Provider Name | Tiffany Snow | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1366716607 PECOS PAC ID: 6002266947 Enrollment ID: I20231219001449 | 
| Provider Name | John Lewis Good | 
|---|---|
| Provider Type | Practitioner - Dentist | 
| Provider Identifiers | NPI Number: 1174705172 PECOS PAC ID: 6901259019 Enrollment ID: I20240125000230 | 
| Provider Name | Alfred B Peters | 
|---|---|
| Provider Type | Practitioner - Dentist | 
| Provider Identifiers | NPI Number: 1336356013 PECOS PAC ID: 8820441868 Enrollment ID: I20240126000314 | 
| Provider Name | Adam R Erwood | 
|---|---|
| Provider Type | Practitioner - Pediatric Medicine | 
| Provider Identifiers | NPI Number: 1962026930 PECOS PAC ID: 4981029261 Enrollment ID: I20240208003227 | 
| Provider Name | Tyrona D Murry | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1114512530 PECOS PAC ID: 6305280165 Enrollment ID: I20240220002787 | 
| Provider Name | Miles Elliott Woodard | 
|---|---|
| Provider Type | Practitioner - Dentist | 
| Provider Identifiers | NPI Number: 1912754425 PECOS PAC ID: 9537691266 Enrollment ID: I20241018000684 | 
| Provider Name | Sarah Joy Mccollum | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1699416792 PECOS PAC ID: 4688199474 Enrollment ID: I20250414003404 | 
| Jack H. Austin, Jr., Md, Pc 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 | |
| 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 | |
| Christ Community Health Services Augusta, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 127 Telfair St, Augusta, GA 30901 Phone: 706-922-0600 Fax: 706-922-0604 | |
| Halbert C Capuy Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 Garredd Blvd, Suite A, Augusta, GA 30909 Phone: 706-863-5776 Fax: 706-868-7057 |