| University Medical Group Llc | |
|
3121 Peach Orchard Rd Ste 103 Augusta GA 30906-3531 | |
| (706) 792-5075 | |
| (706) 792-5085 |
| Full Name | University Medical Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3121 Peach Orchard Rd Ste 103, Augusta, Georgia |
| Authorized Official Name and Position | Julie Deason (DIRECTOR, PHYSICIAN REVENUE CYCLE) |
| Authorized Official Contact | 7067748326 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Medical Group Llc Po Box 1705 Augusta GA 30903-1705 Ph: (706) 774-7263 | University Medical Group Llc 3121 Peach Orchard Rd Ste 103 Augusta GA 30906-3531 Ph: (706) 792-5075 |
| NPI Number | 1336413954 |
|---|---|
| Provider Enumeration Date | 02/29/2012 |
| Last Update Date | 05/07/2018 |
| Medicare PECOS PAC ID | 2567640915 |
|---|---|
| Medicare Enrollment ID | O20110707000164 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336413954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| Provider Name | Faheem Nusrat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235121237 PECOS PAC ID: 5294632220 Enrollment ID: I20031217000473 |
| Provider Name | Christopher S Mcelroy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346343134 PECOS PAC ID: 7517943616 Enrollment ID: I20040629000296 |
| Provider Name | Pamela A Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295772069 PECOS PAC ID: 5890769764 Enrollment ID: I20040825000956 |
| Provider Name | Sheng Yi Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649241902 PECOS PAC ID: 7810072519 Enrollment ID: I20080305000257 |
| Provider Name | Angela A Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689618472 PECOS PAC ID: 5698854594 Enrollment ID: I20080505000021 |
| Provider Name | Jimmy V Lemke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669527156 PECOS PAC ID: 1850443656 Enrollment ID: I20090708000579 |
| Provider Name | Daniel H Boone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225131998 PECOS PAC ID: 3072657089 Enrollment ID: I20100215000249 |
| Provider Name | Robert Winfred West |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467555276 PECOS PAC ID: 4981699766 Enrollment ID: I20100910000249 |
| Provider Name | Barry Thomas Tarpley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659474534 PECOS PAC ID: 0941326227 Enrollment ID: I20100923000918 |
| Provider Name | Renee Coughlin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508832338 PECOS PAC ID: 3274618970 Enrollment ID: I20101006000679 |
| Provider Name | Bozeman K Sherwood |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1043325467 PECOS PAC ID: 4486733748 Enrollment ID: I20101015000332 |
| Provider Name | Eman L Kaldas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336115187 PECOS PAC ID: 0143307173 Enrollment ID: I20101019000599 |
| Provider Name | Melissa Cave |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912217423 PECOS PAC ID: 7810173515 Enrollment ID: I20110513000362 |
| Provider Name | Billie C Blackburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497001721 PECOS PAC ID: 5395994396 Enrollment ID: I20121008000492 |
| Provider Name | Melissa Marie Spurr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760525679 PECOS PAC ID: 8729275953 Enrollment ID: I20130409000348 |
| Provider Name | Brandi P Derrick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245465178 PECOS PAC ID: 4880847557 Enrollment ID: I20130429000413 |
| Provider Name | Christopher Eric Henson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871688697 PECOS PAC ID: 8224054408 Enrollment ID: I20141108000124 |
| Provider Name | Giselle Blair |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013276708 PECOS PAC ID: 3173824448 Enrollment ID: I20151211000716 |
| Provider Name | Lindsey Meagher Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285093443 PECOS PAC ID: 0042519589 Enrollment ID: I20160504001453 |
| Provider Name | Marlon L Sharpe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174888366 PECOS PAC ID: 6305084989 Enrollment ID: I20161003002030 |
| Provider Name | Erinn Beasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326498387 PECOS PAC ID: 8325326309 Enrollment ID: I20161026000315 |
| Provider Name | David August Schulte |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255680096 PECOS PAC ID: 5799092243 Enrollment ID: I20170110001883 |
| Provider Name | Lisa Wannamaker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912069451 PECOS PAC ID: 9335412170 Enrollment ID: I20170830001915 |
| Provider Name | Mark Chua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659819563 PECOS PAC ID: 8628341088 Enrollment ID: I20170906002391 |
| Provider Name | Sallie Jo Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841620218 PECOS PAC ID: 6204068620 Enrollment ID: I20171002002781 |
| Provider Name | Brandi Beckett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629503487 PECOS PAC ID: 9931468386 Enrollment ID: I20180111000325 |
| Provider Name | Julie A Oglesby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023528460 PECOS PAC ID: 4486916855 Enrollment ID: I20180724003894 |
| Provider Name | Hannah K Kyzar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750839379 PECOS PAC ID: 9234427428 Enrollment ID: I20180727000632 |
| Provider Name | Anitha Koduru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689803785 PECOS PAC ID: 1153558820 Enrollment ID: I20180831000762 |
| Provider Name | Pranam Kokilakumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376938696 PECOS PAC ID: 2567746274 Enrollment ID: I20180905003725 |
| Provider Name | Vanessa Marie Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205325586 PECOS PAC ID: 4789936832 Enrollment ID: I20181017003588 |
| Provider Name | Ashley Atkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578003133 PECOS PAC ID: 1355627100 Enrollment ID: I20190103003289 |
| Provider Name | Ashli D Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689145781 PECOS PAC ID: 2961742374 Enrollment ID: I20190321002256 |
| Provider Name | Shannon Leigh Whitwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437619277 PECOS PAC ID: 2860722329 Enrollment ID: I20190925003164 |
| Provider Name | Hannah Timmerman Cofer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356907596 PECOS PAC ID: 5890026835 Enrollment ID: I20191007000833 |
| Provider Name | Meredith Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720634397 PECOS PAC ID: 2163856832 Enrollment ID: I20200106001776 |
| Provider Name | Andrew Lee Bridges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174118699 PECOS PAC ID: 3375952385 Enrollment ID: I20210504000730 |
| Provider Name | Rachel Watts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992302699 PECOS PAC ID: 2860800802 Enrollment ID: I20211001001132 |
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 | |
Champion Orthopedics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1706 Magnolia Way, Augusta, GA 30909 Phone: 706-210-7529 Fax: 706-312-7610 |