Active NPI 1912982687 Individual Practitioner Male Practitioner

Dr. Gautam Agarwal , MBBS

Surgery - Vascular Surgery • Augusta, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Gautam Agarwal, MBBS is a certified Surgery - Vascular Surgery practicing in Augusta, GA. With approximately 33 years of clinical experience since completing medical education in 1993, Dr. Agarwal delivers high-quality medical care to the local community at 1120 15TH ST.

Dr. Agarwal maintains professional affiliations with Health Services Of Central Georgia, Wellstar Medical Group Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, ultrasonic guidance for blood vessel access. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1120 15th St
Ba-4300

Augusta, GA 309120004

Telephone 7067213671

Associated Practice Facility / Clinic

🏢 American Transitional Hospitals, Inc. Facility NPI 1649276338

Medicare Profile & Education

Medical School

Other

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Augusta, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +10.6 yrs vs City Avg

City Avg: 22.4 Yrs

State Avg: 23.4 Yrs

Regional Practice Density

17 Specialists

Practicing in Augusta, GA (194 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Agarwal (33 Years) 33 Yrs

Augusta Specialty Average (22.4 Years) 22.4 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
99213 Established patient office or other outpatient visit, typically 15 minutes	75	65	$134.88	$63.78
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	52	28	$175.54	$76.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	40	$210.51	$94.27
76937 Ultrasonic guidance for blood vessel access	47	40	$74.96	$13.59
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	34	$333.14	$128.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$217.20	$80.34
93880 Ultrasound of both sides of head and neck blood flow	18	18	$268.83	$36.45
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	14	$93.06	$48.95
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$242.00	$81.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$331.40	$130.59
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	14	14	$34.14	$11.79
36589 Removal of central venous catheter for infusion	12	12	$556.00	$125.51
93923 Complete ultrasound study of arm and leg arteries	12	11	$208.83	$20.96
75625 Radiological supervision and interpretation X-ray of abdominal aorta	12	12	$238.33	$66.47
37224 Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure	11	11	$1628.00	$316.31
36830 Connection of tube graft to vein and artery for dialysis	11	11	$2975.00	$571.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	69	66	$111.00	$64.06
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	67	51	$186.67	$75.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	45	$172.00	$94.57
76937 Ultrasonic guidance for blood vessel access	43	39	$69.00	$13.96
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	34	33	$35.15	$12.27
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	23	$94.35	$47.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	31	$358.32	$124.23
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	30	27	$56.00	$17.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$165.00	$80.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$283.00	$129.46
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	22	20	$1241.00	$239.01
93880 Ultrasound of both sides of head and neck blood flow	19	18	$185.00	$37.37
36589 Removal of central venous catheter for infusion	19	19	$561.16	$124.73
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$225.22	$81.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$66.00	$34.52
36821 Relocation of arm vein with connection to arm artery, open procedure	16	15	$2291.00	$640.49
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	14	14	$550.00	$231.54
75625 Radiological supervision and interpretation X-ray of abdominal aorta	12	11	$220.00	$65.93
75716 Review by radiologist of both arms or legs arteries image	12	11	$256.00	$89.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	55	$172.00	$95.31
99213 Established patient office or other outpatient visit, typically 15 minutes	64	61	$111.00	$65.02
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	63	36	$170.33	$68.79
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	39	33	$56.00	$18.10
93880 Ultrasound of both sides of head and neck blood flow	38	37	$185.00	$38.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$165.00	$81.29
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	33	31	$1241.00	$232.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$283.00	$131.56
36589 Removal of central venous catheter for infusion	26	26	$556.00	$125.17
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	23	21	$31.00	$12.33
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	22	16	$232.00	$98.77
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$315.11	$130.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$66.00	$35.55
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	11	$90.00	$37.51
93923 Complete ultrasound study of arm and leg arteries	16	16	$151.00	$21.76
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$438.00	$190.92
75625 Radiological supervision and interpretation X-ray of abdominal aorta	14	14	$220.00	$67.46
36821 Relocation of arm vein with connection to arm artery, open procedure	14	14	$2291.00	$646.84
93970 Ultrasound study of arm or leg veins with compression and maneuvers	14	14	$186.00	$33.20
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	13	13	$550.00	$233.30
75716 Review by radiologist of both arms or legs arteries image	11	11	$256.00	$92.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	112	69	$165.07	$69.37
99213 Established patient office or other outpatient visit, typically 15 minutes	94	83	$111.00	$65.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	52	$172.00	$96.89
93880 Ultrasound of both sides of head and neck blood flow	35	35	$185.00	$37.89
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	35	25	$233.49	$99.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$165.00	$79.53
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	33	$309.88	$131.26
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	29	29	$55.52	$17.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	27	$66.00	$35.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$283.00	$132.46
36589 Removal of central venous catheter for infusion	25	24	$556.00	$131.26
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	21	21	$1241.00	$234.87
75625 Radiological supervision and interpretation X-ray of abdominal aorta	19	18	$220.00	$67.52
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	11	$90.00	$37.12
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	18	16	$550.00	$222.18
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$438.00	$193.25
93923 Complete ultrasound study of arm and leg arteries	15	14	$151.00	$21.32
75716 Review by radiologist of both arms or legs arteries image	14	13	$256.00	$92.55
93970 Ultrasound study of arm or leg veins with compression and maneuvers	13	13	$186.00	$30.89
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$218.00	$97.56
93990 Ultrasound of dialysis access	12	11	$88.00	$23.73
37224 Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure	11	11	$1402.82	$238.36
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$113.00	$48.03
93926 Ultrasound of one leg arteries or artery grafts	11	11	$111.00	$23.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	125	105	$172.00	$78.40
76937 Ultrasonic guidance for blood vessel access	112	85	$69.00	$14.50
99213 Established patient office or other outpatient visit, typically 15 minutes	87	76	$111.00	$50.96
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	58	37	$162.83	$71.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$283.00	$128.67
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	41	35	$56.00	$18.70
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	37	21	$232.35	$103.03
36589 Removal of central venous catheter for infusion	36	33	$556.00	$133.72
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	34	29	$1241.00	$245.00
99221 Initial hospital inpatient care per day, typically 30 minutes	34	33	$218.00	$101.24
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	32	25	$550.00	$237.65
93880 Ultrasound of both sides of head and neck blood flow	30	30	$185.00	$39.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$165.00	$75.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	28	$299.00	$136.61
93923 Complete ultrasound study of arm and leg arteries	23	23	$151.00	$22.38
93979 Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan	18	18	$103.00	$24.76
75774 Radiological supervision and interpretation of imaging of artery	18	16	$95.00	$48.89
75625 Radiological supervision and interpretation X-ray of abdominal aorta	16	15	$220.00	$70.56
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	14	$90.00	$39.11
75716 Review by radiologist of both arms or legs arteries image	16	15	$256.00	$95.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$66.00	$25.56
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$438.00	$200.57
93970 Ultrasound study of arm or leg veins with compression and maneuvers	11	11	$186.00	$32.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
76937 Ultrasonic guidance for blood vessel access	112	85	$69.00	$14.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	79	$170.37	$77.80
99213 Established patient office or other outpatient visit, typically 15 minutes	93	80	$110.12	$50.49
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	67	44	$162.00	$71.90
99231 Follow-up hospital inpatient care per day, typically 15 minutes	48	30	$90.00	$39.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$165.00	$75.50
99221 Initial hospital inpatient care per day, typically 30 minutes	46	46	$218.00	$100.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	39	$63.50	$25.27
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	40	33	$56.00	$18.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$282.22	$127.73
93880 Ultrasound of both sides of head and neck blood flow	32	31	$185.00	$40.17
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	31	25	$232.00	$100.48
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	29	24	$550.00	$242.97
93923 Complete ultrasound study of arm and leg arteries	29	29	$151.00	$22.30
75625 Radiological supervision and interpretation X-ray of abdominal aorta	28	28	$220.00	$56.07
75774 Radiological supervision and interpretation of imaging of artery	28	24	$95.00	$17.32
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	25	24	$1241.00	$250.28
75716 Review by radiologist of both arms or legs arteries image	24	23	$256.00	$96.59
36589 Removal of central venous catheter for infusion	24	22	$556.00	$127.31
93970 Ultrasound study of arm or leg veins with compression and maneuvers	23	23	$186.00	$34.59
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	21	$298.00	$135.52
93979 Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan	22	22	$103.00	$24.02
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	21	21	$31.00	$12.35
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	17	15	$119.00	$22.55
36581 Replacement of tunneled central venous tube	15	13	$1092.00	$164.72
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$438.00	$199.91
36821 Relocation of arm vein with connection to arm artery, open procedure	13	13	$2291.00	$682.38
37224 Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure	12	12	$1399.00	$307.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	129	100	$168.00	$76.66
99213 Established patient office or other outpatient visit, typically 15 minutes	112	104	$109.00	$50.06
76937 Ultrasonic guidance for blood vessel access	77	67	$69.00	$14.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$165.00	$75.08
93880 Ultrasound of both sides of head and neck blood flow	50	48	$185.00	$39.59
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	42	31	$162.00	$69.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	38	$61.00	$24.89
93923 Complete ultrasound study of arm and leg arteries	38	36	$151.00	$21.66
75774 Radiological supervision and interpretation of imaging of artery	37	22	$95.00	$17.03
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	37	30	$232.00	$100.69
93970 Ultrasound study of arm or leg veins with compression and maneuvers	31	31	$186.00	$34.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$276.00	$126.61
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	28	$298.00	$133.88
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	25	21	$550.00	$238.41
75625 Radiological supervision and interpretation X-ray of abdominal aorta	25	25	$220.00	$55.39
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	17	$90.00	$37.39
75716 Review by radiologist of both arms or legs arteries image	23	23	$256.00	$95.17
93979 Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan	21	21	$103.00	$24.19
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$218.00	$99.35
37228 Balloon dilation of artery of leg, initial vessel	15	14	$1709.00	$519.71
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	15	15	$31.00	$12.55
37221 Insertion of stents in artery in one side of groin, endovascular, accessed through the skin or open procedure	15	15	$1959.53	$442.18
37224 Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure	13	12	$1399.00	$279.14
36589 Removal of central venous catheter for infusion	12	11	$556.00	$135.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	100	81	$109.00	$49.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	89	69	$168.00	$76.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	64	38	$162.00	$69.26
76937 Ultrasonic guidance for blood vessel access	59	49	$69.00	$13.91
93880 Ultrasound of both sides of head and neck blood flow	49	48	$185.00	$39.30
93923 Complete ultrasound study of arm and leg arteries	39	38	$151.00	$21.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$165.00	$74.53
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	33	25	$232.00	$101.23
93979 Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan	31	31	$103.00	$24.51
93970 Ultrasound study of arm or leg veins with compression and maneuvers	27	27	$186.00	$34.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$298.00	$132.84
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	25	19	$550.00	$188.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	21	$61.00	$24.70
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	21	18	$56.00	$17.71
36589 Removal of central venous catheter for infusion	21	20	$556.00	$127.33
75774 Radiological supervision and interpretation of imaging of artery	20	16	$95.00	$17.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$276.00	$125.92
75625 Radiological supervision and interpretation X-ray of abdominal aorta	17	17	$220.00	$54.96
75716 Review by radiologist of both arms or legs arteries image	17	16	$256.00	$62.87
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$218.00	$98.57
93990 Ultrasound of dialysis access	14	13	$88.00	$24.27
93926 Ultrasound of one leg arteries or artery grafts	13	13	$111.00	$22.86
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	13	12	$1221.92	$222.79
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	13	$90.00	$38.15
37224 Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure	12	11	$1399.00	$318.96
36832 Revision of dialysis graft, open procedure	11	11	$2086.00	$681.54
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	11	11	$119.00	$21.73

Medical Specialties & State Licenses

CMS Verified: 2020-09-08

Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License MN 47831

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

640145700 (MN)

Hospital & Practice Group Affiliations

Health Services Of Central Georgia

777 Hemlock St, Macon, GA 312012102

Phone: 4786331000

Wellstar Medical Group Llc

989 Saint Sebastian Way, Augusta, GA 309120004

Phone: 7067212171

Wellstar Medical Group Llc

5150 Stilesboro N W Rd, Kennesaw, GA 301527742

Phone: 7704248222

Wellstar Medical Group Llc

1120 15th St, Augusta, GA 309120004

Phone: 7067218623

Secondary Practice Locations

1348 Walton Way Ste 5700

Augusta, GA 309015110

Phone: 7067747022

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Keith O'malley , MD

Surgery - Trauma Surgery

NPI 1053381145

Doctor of Medicine (M.D.)

Catherine Sanderson , NP

Nurse Practitioner

NPI 1649550245

Nurse Practitioner

Dr. M Kamath , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1669535522

Doctor of Medicine (M.D.)

Dr. Rabii Madi , MD

Surgery

NPI 1831299726

Doctor of Medicine (M.D.)

Dr. David Cearley , MD

Orthopaedic Surgery - Pediatric Orthopaedic Surgery

NPI 1922034537

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 20, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location March 20, 2014

Registered at 1120 15TH ST, BA-4300, AUGUSTA, GA 309120004 (Tel: 7067213671)

📍

Updated Business Mailing Address March 20, 2014

Registered at 1499 WALTON WAY, STE 1400, AUGUSTA, GA 309012602 (Tel: 7068288401)

👤

Provider Name / Credentials Updated March 20, 2014

Recorded as GAUTAM AGARWAL, M.B.B.S.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2014

Surgery (License #47831 in MN)

🟢

Initial NPI Registration & Enumeration December 14, 2005

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: 1912982687

Entity Type:

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

Enumeration Date: December 14, 2005

Last Update: September 08, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1499 Walton Way, Ste 1400

Augusta, GA 309012602

Phone: 7068288401

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.