Active NPI 1174564488 Individual Practitioner Male Practitioner

Dr. Joseph Paul Rectenwald , MD

Orthopaedic Surgery - Hand Surgery • Augusta, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Joseph Rectenwald, MD is a certified Orthopaedic Surgery - Hand Surgery practicing in Augusta, GA. With approximately 29 years of clinical experience since graduating from Medical College Of Georgia School Of Medicine in 1997, Dr. Rectenwald delivers high-quality medical care to the local community at 811 13TH ST.

Dr. Rectenwald maintains professional affiliations with Augusta Orthopedic And Sports Medicine Specialists, Pc, Georgialina Physical Therapy Associates Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, dexamethasone sodium phosphate, 1 mg, x-ray of hand, minimum of 3 views, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

811 13th St
Ste 20

Augusta, GA 30901

Telephone 7067223401

Fax 7067246540

Associated Practice Facility / Clinic

🏢 Augusta Arthritis Center Inc Facility NPI 1033141882

Medicare Profile & Education

Medical School

Medical College Of Georgia School Of Medicine

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery - Hand Surgery in Augusta, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +1.0 yrs vs City Avg

City Avg: 28.0 Yrs

State Avg: 22.5 Yrs

Regional Practice Density

5 Specialists

Practicing in Augusta, GA (80 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rectenwald (29 Years) 29 Yrs

Augusta Specialty Average (28.0 Years) 28.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	748	96	$10.45	$0.11
73130 X-ray of hand, minimum of 3 views	364	248	$104.20	$33.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	226	196	$216.04	$121.81
99213 Established patient office or other outpatient visit, typically 15 minutes	124	104	$155.73	$86.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	100	100	$341.16	$158.19
20550 Injection into tendon or ligament	99	45	$131.70	$53.00
26055 Incision of tendon covering	95	57	$2016.35	$190.79
64721 Release and/or relocation of hand nerve	72	64	$1643.25	$373.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$236.14	$105.29
73140 X-ray of finger, minimum of 2 views	57	43	$101.18	$33.67
73110 X-ray of wrist, minimum of 3 views	55	37	$115.76	$37.00
95886 Needle measurement of electrical activity in arm or leg muscles, complete study	50	43	$198.16	$88.97
20600 Aspiration and/or injection of fluid from small joint	41	30	$131.02	$51.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	37	$100.41	$52.96
73030 X-ray of shoulder, minimum of 2 views	34	30	$98.62	$31.83
20605 Aspiration and/or injection of medium joint or joint capsule	30	19	$146.47	$55.93
73070 X-ray of elbow, 2 views	30	22	$93.00	$26.22
95885 Needle measurement of electrical activity in arm or leg muscles, limited study	25	19	$131.80	$56.38
95911 Nerve transmission studies, 9-10 studies	23	23	$801.26	$198.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$263.00	$126.78
64718 Release and/or relocation of elbow nerve	19	15	$2226.47	$585.49
95909 Nerve conduction, 5-6 studies	16	16	$491.44	$125.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	693	100	$3.00	$0.12
73130 X-ray of hand, minimum of 3 views	360	255	$89.67	$32.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	227	214	$160.00	$118.38
99213 Established patient office or other outpatient visit, typically 15 minutes	132	120	$109.89	$84.36
26055 Incision of tendon covering	110	71	$1319.00	$191.21
64721 Release and/or relocation of hand nerve	106	94	$1392.79	$368.41
73140 X-ray of finger, minimum of 2 views	103	87	$91.00	$32.76
20550 Injection into tendon or ligament	95	45	$129.53	$49.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	90	90	$265.00	$156.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	74	74	$188.00	$105.82
73110 X-ray of wrist, minimum of 3 views	71	41	$101.14	$37.43
95886 Needle measurement of electrical activity in arm or leg muscles, complete study	69	48	$155.00	$90.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	41	$76.00	$52.01
20600 Aspiration and/or injection of fluid from small joint	44	36	$127.50	$47.82
73070 X-ray of elbow, 2 views	41	30	$80.00	$23.80
64718 Release and/or relocation of elbow nerve	27	23	$1887.00	$556.59
95911 Nerve transmission studies, 9-10 studies	26	26	$1150.00	$198.24
73030 X-ray of shoulder, minimum of 2 views	20	19	$85.10	$31.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$215.00	$126.16
95885 Needle measurement of electrical activity in arm or leg muscles, limited study	16	14	$100.00	$56.57
72040 X-ray of upper spine, 2-3 views	16	16	$107.81	$34.91
20605 Aspiration and/or injection of medium joint or joint capsule	14	11	$148.57	$56.09
26160 Removal of growth of tendon finger or hand	11	11	$1385.00	$289.86
95909 Nerve conduction, 5-6 studies	11	11	$690.00	$125.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	757	104	$3.00	$0.12
73130 X-ray of hand, minimum of 3 views	366	254	$74.40	$32.74
99213 Established patient office or other outpatient visit, typically 15 minutes	161	143	$103.00	$85.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	151	145	$160.00	$115.94
20550 Injection into tendon or ligament	95	49	$115.00	$52.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	80	80	$265.00	$153.25
26055 Incision of tendon covering	79	49	$1319.00	$203.51
73140 X-ray of finger, minimum of 2 views	77	56	$53.00	$33.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$188.00	$103.58
73110 X-ray of wrist, minimum of 3 views	69	39	$70.00	$37.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	65	53	$76.00	$52.96
64721 Release and/or relocation of hand nerve	60	54	$1437.57	$366.49
95886 Needle measurement of electrical activity in arm or leg muscles, complete study	39	33	$155.00	$90.80
20600 Aspiration and/or injection of fluid from small joint	37	29	$133.38	$52.77
73030 X-ray of shoulder, minimum of 2 views	36	28	$68.00	$31.00
95885 Needle measurement of electrical activity in arm or leg muscles, limited study	28	22	$100.00	$57.00
73070 X-ray of elbow, 2 views	27	22	$65.00	$26.90
20605 Aspiration and/or injection of medium joint or joint capsule	20	14	$138.00	$56.91
95911 Nerve transmission studies, 9-10 studies	18	18	$1150.00	$191.56
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$215.00	$128.93
25600 Closed treatment of broken forearm bones	15	15	$1010.00	$318.27
64718 Release and/or relocation of elbow nerve	14	14	$1887.00	$567.11
72040 X-ray of upper spine, 2-3 views	11	11	$75.00	$33.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	888	117	$3.00	$0.14
73130 X-ray of hand, minimum of 3 views	354	253	$70.40	$32.75
99213 Established patient office or other outpatient visit, typically 15 minutes	185	166	$103.00	$85.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	134	128	$160.00	$119.97
26055 Incision of tendon covering	104	54	$1319.00	$181.96
20550 Injection into tendon or ligament	98	49	$115.00	$50.04
73110 X-ray of wrist, minimum of 3 views	94	53	$70.00	$36.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	81	81	$265.00	$158.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$188.00	$105.48
73140 X-ray of finger, minimum of 2 views	65	47	$53.00	$33.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	63	57	$76.00	$52.25
20600 Aspiration and/or injection of fluid from small joint	62	44	$120.24	$47.58
64721 Release and/or relocation of hand nerve	58	54	$1390.57	$337.22
73070 X-ray of elbow, 2 views	47	31	$65.00	$26.35
73030 X-ray of shoulder, minimum of 2 views	45	38	$68.00	$30.23
95886 Needle measurement of electrical activity in arm or leg muscles, complete study	34	33	$155.00	$95.55
95885 Needle measurement of electrical activity in arm or leg muscles, limited study	33	26	$100.00	$59.89
64718 Release and/or relocation of elbow nerve	20	19	$1981.35	$557.51
20610 Aspiration and/or injection of fluid from large joint	20	16	$159.50	$52.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$215.00	$131.11
20605 Aspiration and/or injection of medium joint or joint capsule	19	14	$115.00	$51.51
95911 Nerve transmission studies, 9-10 studies	18	18	$1150.00	$203.78
73221 Mri scan of arm joint without contrast	12	11	$1100.00	$201.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	985	130	$3.00	$0.12
73130 X-ray of hand, minimum of 3 views	368	262	$70.57	$32.25
99213 Established patient office or other outpatient visit, typically 15 minutes	226	194	$103.00	$71.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	169	169	$188.00	$102.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	139	139	$160.00	$103.81
26055 Incision of tendon covering	127	67	$1319.00	$181.25
20550 Injection into tendon or ligament	123	67	$115.00	$52.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	115	92	$76.00	$43.25
73110 X-ray of wrist, minimum of 3 views	112	64	$70.00	$34.83
73140 X-ray of finger, minimum of 2 views	90	63	$53.00	$31.29
64721 Release and/or relocation of hand nerve	80	73	$1435.35	$382.23
20600 Aspiration and/or injection of fluid from small joint	65	33	$105.00	$42.11
73030 X-ray of shoulder, minimum of 2 views	59	45	$68.00	$30.22
73070 X-ray of elbow, 2 views	49	37	$65.00	$25.60
95886 Needle measurement of electrical activity in arm or leg muscles, complete study	48	45	$155.00	$92.23
95885 Needle measurement of electrical activity in arm or leg muscles, limited study	45	30	$100.00	$58.42
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$215.00	$136.55
64718 Release and/or relocation of elbow nerve	22	21	$1887.00	$560.19
95910 Nerve conduction, 7-8 studies	19	19	$920.00	$183.49
20610 Aspiration and/or injection of fluid from large joint	19	18	$160.26	$60.68
25600 Closed treatment of broken forearm bones	16	16	$1010.00	$300.25
72040 X-ray of upper spine, 2-3 views	15	15	$75.00	$33.41
95911 Nerve transmission studies, 9-10 studies	14	14	$1150.00	$219.57
95909 Nerve conduction, 5-6 studies	14	14	$690.00	$139.00
73221 Mri scan of arm joint without contrast	12	12	$1100.00	$214.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	801	124	$3.00	$0.11
99213 Established patient office or other outpatient visit, typically 15 minutes	275	263	$103.00	$69.93
73130 X-ray of hand, minimum of 3 views	247	168	$78.50	$30.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	222	166	$76.00	$42.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	164	164	$188.00	$102.24
26055 Incision of tendon covering	152	84	$1319.00	$190.74
73110 X-ray of wrist, minimum of 3 views	106	66	$73.96	$33.53
73140 X-ray of finger, minimum of 2 views	99	62	$53.00	$30.11
20550 Injection into tendon or ligament	93	54	$115.00	$49.26
64721 Release and/or relocation of hand nerve	85	79	$1384.65	$371.07
20600 Aspiration and/or injection of fluid from small joint	54	33	$105.00	$42.81
73030 X-ray of shoulder, minimum of 2 views	43	40	$68.00	$27.41
95886 Needle measurement of electrical activity in arm or leg muscles, complete study	37	31	$155.00	$89.32
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	37	37	$215.00	$130.96
73070 X-ray of elbow, 2 views	35	27	$65.00	$25.06
20610 Aspiration and/or injection of fluid from large joint	23	21	$151.30	$59.76
95885 Needle measurement of electrical activity in arm or leg muscles, limited study	21	16	$100.00	$56.87
64718 Release and/or relocation of elbow nerve	18	18	$1887.00	$562.99
20526 Injection of carpal tunnel	16	13	$155.00	$75.00
95911 Nerve transmission studies, 9-10 studies	12	12	$1150.00	$222.43
25600 Closed treatment of broken forearm bones	11	11	$1010.00	$314.69
72040 X-ray of upper spine, 2-3 views	11	11	$75.00	$33.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	825	126	$3.00	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	250	235	$103.00	$68.81
73130 X-ray of hand, minimum of 3 views	241	196	$93.24	$30.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	217	154	$76.00	$41.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	153	153	$188.00	$102.54
26055 Incision of tendon covering	98	59	$1319.00	$203.48
73140 X-ray of finger, minimum of 2 views	95	62	$53.00	$29.30
73110 X-ray of wrist, minimum of 3 views	95	60	$73.68	$31.29
64721 Release and/or relocation of hand nerve	84	74	$1415.82	$379.76
20550 Injection into tendon or ligament	75	48	$115.00	$48.31
73030 X-ray of shoulder, minimum of 2 views	75	65	$73.44	$27.93
20600 Aspiration and/or injection of fluid from small joint	58	37	$114.05	$44.42
20610 Aspiration and/or injection of fluid from large joint	47	34	$154.26	$57.79
73070 X-ray of elbow, 2 views	45	31	$72.22	$24.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	34	$160.00	$103.12
95886 Needle measurement of electrical activity in arm or leg muscles, complete study	32	27	$155.00	$86.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$215.00	$133.80
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$127.00	$71.48
64718 Release and/or relocation of elbow nerve	20	15	$1887.00	$577.31
Q4021 Cast supplies, short arm splint, adult (11 years +), plaster	19	16	$22.00	$6.68
95885 Needle measurement of electrical activity in arm or leg muscles, limited study	19	16	$100.00	$54.88
73221 Mri scan of arm joint without contrast	17	17	$1100.00	$219.88
20605 Aspiration and/or injection of medium joint or joint capsule	15	13	$122.67	$47.21
29125 Application of nonmoveable forearm to hand splint	13	12	$125.00	$61.45
72040 X-ray of upper spine, 2-3 views	13	13	$75.00	$30.84
25000 Incision to repair tendon covering at wrist	13	13	$1085.00	$261.88
95911 Nerve transmission studies, 9-10 studies	12	12	$1150.00	$224.64
95910 Nerve conduction, 7-8 studies	11	11	$920.00	$187.64
25600 Closed treatment of broken forearm bones	11	11	$1010.00	$313.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	780	117	$3.00	$0.11
99213 Established patient office or other outpatient visit, typically 15 minutes	211	203	$103.00	$68.58
73130 X-ray of hand, minimum of 3 views	193	178	$99.38	$37.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	192	151	$76.00	$40.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	136	136	$188.00	$101.63
26055 Incision of tendon covering	107	55	$1319.00	$185.91
73110 X-ray of wrist, minimum of 3 views	94	52	$72.98	$32.42
20550 Injection into tendon or ligament	78	46	$116.47	$49.39
73140 X-ray of finger, minimum of 2 views	72	49	$54.47	$29.21
64721 Release and/or relocation of hand nerve	64	59	$1468.45	$368.42
73030 X-ray of shoulder, minimum of 2 views	54	45	$73.04	$28.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	47	$160.00	$99.67
20610 Aspiration and/or injection of fluid from large joint	46	36	$148.15	$56.64
95886 Needle measurement of electrical activity in arm or leg muscles, complete study	39	38	$155.00	$85.13
95885 Needle measurement of electrical activity in arm or leg muscles, limited study	37	24	$100.00	$54.02
73070 X-ray of elbow, 2 views	34	25	$65.00	$25.10
99202 New patient office or other outpatient visit, typically 20 minutes	32	32	$127.00	$70.60
20600 Aspiration and/or injection of fluid from small joint	31	25	$125.32	$47.20
95909 Nerve conduction, 5-6 studies	20	20	$690.00	$140.23
20605 Aspiration and/or injection of medium joint or joint capsule	20	14	$143.75	$53.01
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$215.00	$132.87
Q4021 Cast supplies, short arm splint, adult (11 years +), plaster	18	15	$22.00	$6.61
95910 Nerve conduction, 7-8 studies	18	18	$920.00	$185.12
29125 Application of nonmoveable forearm to hand splint	17	14	$125.00	$60.54
73562 X-ray of knee, 3 views	15	15	$84.00	$39.45
64718 Release and/or relocation of elbow nerve	13	11	$1887.00	$569.58
72040 X-ray of upper spine, 2-3 views	12	12	$75.00	$30.46
73221 Mri scan of arm joint without contrast	12	12	$1100.00	$218.08

Medical Specialties & State Licenses

CMS Verified: 2024-08-29

Orthopaedic Surgery - Hand Surgery Primary Specialty

NUCC Taxonomy Code: 207XS0106X

State License GA 052206

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License GA 052206

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Hospital & Practice Group Affiliations

Augusta Orthopedic And Sports Medicine Specialists, Pc

3650 J Dewey Gray Cir, Augusta, GA 309091867

Phone: 7068639797

Augusta Orthopedic And Sports Medicine Specialists, Pc

4369 Evans To Locks Rd, Evans, GA 308094099

Phone: 7068639797

Augusta Orthopedic And Sports Medicine Specialists, Pc

2511 Associates Way, Evans, GA 308093106

Phone: 7067223401

Augusta Orthopedic And Sports Medicine Specialists, Pc

811 13th St, Augusta, GA 309012771

Phone: 7067223401

Georgialina Physical Therapy Associates Llc

1321 Interstate Pkwy, Augusta, GA 309095626

Phone: 7069450810

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners

Rachel Simmons , FNP

Nurse Practitioner - Family

NPI 1053058107

Family Nurse Practitioner

James Polhill , PA-C

Physician Assistant - Surgical

NPI 1053327304

Physician Assistant (Certified)

Dr. Thomas Parfenchuck , MD

Orthopaedic Surgery

NPI 1053346973

Doctor of Medicine (M.D.)

Judah Johnson , PA

Physician Assistant

NPI 1053695957

Physician Assistant

Dr. Kevin Oshea , MD

Orthopaedic Surgery

NPI 1073556361

Doctor of Medicine (M.D.)

Shawn Gunder , PA-C

Physician Assistant - Surgical

NPI 1134356876

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 811 13TH ST, STE 20, AUGUSTA, GA 30901 (Tel: 7067223401)

📍

Updated Business Mailing Address July 08, 2007

Registered at 811 13TH ST, STE 20, AUGUSTA, GA 30901 (Tel: 7067246540)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JOSEPH RECTENWALD, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Orthopaedic Surgery (License #052206 in GA)

🟢

Initial NPI Registration & Enumeration June 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174564488

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 09, 2006

Last Update: August 30, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

811 13th St, Ste 20

Augusta, GA 30901

Phone: 7067246540

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.