DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: UNIVERSITY MEDICAL GROUP LLC

MEDICARE: UNIVERSITY MEDICAL GROUP LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician
2207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1871885806
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIVERSITY MEDICAL GROUP LLC
Provider Business Mailing Address
First Line : P O BOX 1705
Second Line :
City : AUGUSTA
State : GA
Zip : 30903-1705
Country : US
Telephone Number : 706-774-7263
Fax Number : 706-774-7230
Provider Business Practice Location Address
First Line : 3486 PEACH ORCHARD RD STE 100
Second Line :
City : AUGUSTA
State : GA
Zip : 30906-5215
Country : US
Telephone Number : 706-828-8000
Fax Number : 706-828-8001
Authorized Official
Title or Position : DIRECTOR. PHYSICIAN REVENUE CYCLE
Name : JULIE DEASON
Credential :
Telephone Number : 706-774-8326
Provider Enumeration Date : 05/10/2011
Last Update Date : 10/10/2018

Similar Medicare Providers

1376619304 — DONALD WILSON HARPER PA-C
Practice Location Address:
3486 PEACH ORCHARD RD STE 200
AUGUSTA, GA
30906-5215
Practice Phone: 706-828-8000
Practice Fax:
1699158154 — DR. DAVID NGUYEN MD
Practice Location Address:
3486 PEACH ORCHARD RD STE 200
AUGUSTA, GA
30906-5215
Practice Phone: 706-828-8049
Practice Fax: 706-828-8048
1558727925 — MRS. MARISA ELISE - GUERETTE CHORNEY FNP-BC
Practice Location Address:
3486 PEACH ORCHARD RD STE 200
AUGUSTA, GA
30906-5215
Practice Phone: 706-828-8049
Practice Fax:
1336607522 — KATRINA WILSON FNP
Practice Location Address:
3486 PEACH ORCHARD RD STE 200
AUGUSTA, GA
30906-5215
Practice Phone: 706-828-8000
Practice Fax:
1730716689 — MRS. ASHLEIGH POTTER APRN
Practice Location Address:
3486 PEACH ORCHARD RD STE 200
AUGUSTA, GA
30906-5215
Practice Phone: 706-828-8000
Practice Fax:
1689288599 — SARA CHANDLER JONES
Practice Location Address:
3486 PEACH ORCHARD RD STE 200
AUGUSTA, GA
30906-5215
Practice Phone: 706-828-8049
Practice Fax: 706-828-8048

Directions to “UNIVERSITY MEDICAL GROUP LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.