Healthcare Provider Details

I. General information

NPI: 1699356519
Provider Name (Legal Business Name): NICHOLAS WAYNE LEHMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2021
Last Update Date: 08/27/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 E HOSPITAL RD
AUGUSTA GA
30905
US

IV. Provider business mailing address

300 E HOSPITAL RD
AUGUSTA GA
30905
US

V. Phone/Fax

Practice location:
  • Phone: 706-787-5864
  • Fax:
Mailing address:
  • Phone: 706-787-5864
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number0101277552
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number0101277552
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: