Active NPI 1740242692 Individual Practitioner Male Practitioner

Dr. Jonathan P Lindman , MD

Specialist • Evans, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Lindman, MD is a certified Specialist practicing in Evans, GA. With approximately 26 years of clinical experience since graduating from Medical College Of Georgia School Of Medicine in 2000, Dr. Lindman delivers high-quality medical care to the local community at 340 N BELAIR RD.

Dr. Lindman maintains professional affiliations with Self Medical Group, Augusta Ent Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include professional service for preparation and provision of, test for allergy using allergenic extract, injection of allergenic extracts into skin for immediate reaction analysis. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

340 N Belair Rd

Evans, GA 308093000

Telephone 7068685676

Fax 7068685671

Associated Practice Facility / Clinic

🏢 Ent Surgery Center Of Augusta, Llc Facility NPI 1548296296

Medicare Profile & Education

Medical School

Medical College Of Georgia School Of Medicine

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Evans, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +0.5 yrs vs City Avg

City Avg: 25.5 Yrs

State Avg: 36.1 Yrs

Regional Practice Density

3 Specialists

Practicing in Evans, GA (979 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lindman (26 Years) 26 Yrs

Evans Specialty Average (25.5 Years) 25.5 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
95165 Professional service for preparation and provision of 1 or more antigens	1,290	89	$43.64	$13.04
95004 Test for allergy using allergenic extract	1,033	17	$21.50	$3.29
95024 Injection of allergenic extracts into skin for immediate reaction analysis	642	17	$26.16	$7.04
95117 Professional service for multiple injections of allergen	623	237	$40.00	$10.66
99213 Established patient office or other outpatient visit, typically 15 minutes	393	330	$184.50	$84.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	225	197	$275.00	$118.95
95800 Sleep study including heart rate, breathing, and sleep time	169	166	$388.64	$119.70
92567 Eardrum testing using ear probe	158	147	$53.35	$14.84
95115 Injection of incremental dosages of allergen	155	54	$40.00	$9.04
69210 Removal of impacted ear wax	118	107	$134.51	$43.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	101	94	$115.00	$51.77
31231 Diagnostic examination of nasal passages using an endoscope	97	79	$530.31	$163.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	86	86	$285.00	$103.47
31575 Diagnostic exam of voice box using a flexible endoscope	75	68	$333.00	$116.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$410.00	$156.96
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	46	16	$92.00	$26.33
92504 Exam of ear using a microscope	37	34	$158.00	$25.95
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	34	14	$75.00	$21.54
70486 CT scan of face	33	31	$827.00	$117.29
95992 Repositioning maneuvers for treatment of vertigo, per day	28	27	$53.57	$39.83
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	25	25	$139.40	$47.46
31237 Biopsy or removal of nasal polyp or tissue using an endoscope	22	13	$981.82	$284.31
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$210.00	$66.86
76536 Ultrasound of head and neck	19	19	$425.00	$98.07
42975 Evaluation of sleep-disordered breathing by examination of upper airway using an endoscope	14	14	$155.00	$80.64
64582 Insertion of hypoglossal nerve neurostimulator electrode and generator and breathing sensor electrode	11	11	$1195.00	$794.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95004 Test for allergy using allergenic extract	1,426	23	$19.80	$3.52
95165 Professional service for preparation and provision of 1 or more antigens	1,338	98	$41.45	$13.41
95024 Injection of allergenic extracts into skin for immediate reaction analysis	760	21	$24.50	$6.83
95117 Professional service for multiple injections of allergen	676	271	$40.00	$10.20
99213 Established patient office or other outpatient visit, typically 15 minutes	322	257	$183.00	$83.97
95115 Injection of incremental dosages of allergen	185	85	$36.77	$8.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	180	149	$275.00	$119.43
92567 Eardrum testing using ear probe	136	127	$50.00	$15.03
69210 Removal of impacted ear wax	119	105	$125.00	$43.78
95800 Sleep study including heart rate, breathing, and sleep time	96	94	$360.00	$130.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$410.00	$153.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	73	73	$285.00	$104.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	72	65	$115.00	$51.31
31575 Diagnostic exam of voice box using a flexible endoscope	71	66	$325.00	$117.31
31231 Diagnostic examination of nasal passages using an endoscope	65	57	$508.85	$169.62
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	61	24	$92.00	$27.14
76536 Ultrasound of head and neck	45	44	$425.00	$98.45
70486 CT scan of face	37	36	$827.00	$120.57
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	28	15	$75.00	$21.98
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	22	22	$125.00	$48.17
31237 Biopsy or removal of nasal polyp or tissue using an endoscope	20	12	$1296.00	$303.35
42975 Evaluation of sleep-disordered breathing by examination of upper airway using an endoscope	18	18	$155.00	$74.23
95992 Repositioning maneuvers for treatment of vertigo, per day	16	15	$50.00	$38.61
92557 Comprehensive hearing and speech recognition test	12	12	$120.00	$29.08
64582 Insertion of hypoglossal nerve neurostimulator electrode and generator and breathing sensor electrode	12	12	$1195.00	$824.05
97163 Evaluation for physical therapy, typically 45 minutes	11	11	$460.00	$94.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95165 Professional service for preparation and provision of 1 or more antigens	1,413	115	$30.00	$13.62
95004 Test for allergy using allergenic extract	784	13	$15.00	$3.67
95117 Professional service for multiple injections of allergen	682	243	$40.00	$10.16
95024 Injection of allergenic extracts into skin for immediate reaction analysis	456	12	$20.00	$7.57
99213 Established patient office or other outpatient visit, typically 15 minutes	284	229	$183.00	$84.18
95115 Injection of incremental dosages of allergen	240	91	$27.00	$8.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	181	148	$275.00	$118.53
92567 Eardrum testing using ear probe	113	103	$49.96	$15.33
31575 Diagnostic exam of voice box using a flexible endoscope	103	99	$325.00	$118.84
69210 Removal of impacted ear wax	101	87	$125.00	$42.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	94	94	$285.00	$103.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	82	82	$410.00	$155.59
31231 Diagnostic examination of nasal passages using an endoscope	75	62	$490.00	$175.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	53	$115.00	$51.96
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	49	28	$92.00	$28.29
95810 Sleep monitoring of patient (6 years or older) in sleep lab	43	43	$1650.00	$115.82
95800 Sleep study including heart rate, breathing, and sleep time	41	41	$355.46	$139.24
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	40	22	$75.00	$22.46
76536 Ultrasound of head and neck	37	33	$425.00	$98.86
70486 CT scan of face	27	26	$827.00	$119.70
92557 Comprehensive hearing and speech recognition test	20	20	$120.00	$34.08
95992 Repositioning maneuvers for treatment of vertigo, per day	18	17	$89.00	$41.73
92504 Exam of ear using a microscope	16	14	$158.00	$26.66
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	15	15	$126.67	$47.42
42975 Evaluation of sleep-disordered breathing by examination of upper airway using an endoscope	12	12	$155.00	$98.72
97163 Evaluation for physical therapy, typically 45 minutes	11	11	$460.00	$86.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95165 Professional service for preparation and provision of 1 or more antigens	2,718	227	$30.00	$14.36
95004 Test for allergy using allergenic extract	1,016	18	$15.00	$3.51
95117 Professional service for multiple injections of allergen	715	241	$40.00	$10.19
95024 Injection of allergenic extracts into skin for immediate reaction analysis	648	17	$20.06	$7.12
95115 Injection of incremental dosages of allergen	316	105	$27.00	$8.34
99213 Established patient office or other outpatient visit, typically 15 minutes	258	205	$183.00	$85.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	215	155	$275.00	$122.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	142	129	$115.00	$52.84
92567 Eardrum testing using ear probe	138	128	$50.00	$15.62
69210 Removal of impacted ear wax	109	98	$125.00	$42.90
31575 Diagnostic exam of voice box using a flexible endoscope	104	88	$325.00	$116.02
31231 Diagnostic examination of nasal passages using an endoscope	84	69	$484.95	$181.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$410.00	$157.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$285.00	$106.31
95810 Sleep monitoring of patient (6 years or older) in sleep lab	44	42	$1627.84	$118.96
70486 CT scan of face	29	28	$827.00	$122.33
92504 Exam of ear using a microscope	27	23	$158.00	$24.35
95992 Repositioning maneuvers for treatment of vertigo, per day	25	20	$89.00	$42.95
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	23	22	$125.00	$47.77
76536 Ultrasound of head and neck	22	21	$425.00	$105.84
92557 Comprehensive hearing and speech recognition test	17	17	$120.00	$34.67
92540 Evaluation and testing for balance with recording	11	11	$657.00	$106.17
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$210.00	$69.98
92537 Test to assess balance during warm and cool irrigation in both ears	11	11	$240.00	$40.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95165 Professional service for preparation and provision of 1 or more antigens	1,418	140	$27.77	$13.13
95004 Test for allergy using allergenic extract	960	20	$15.00	$3.95
95024 Injection of allergenic extracts into skin for immediate reaction analysis	712	20	$20.00	$7.50
95117 Professional service for multiple injections of allergen	557	200	$40.00	$9.63
95115 Injection of incremental dosages of allergen	396	137	$27.00	$8.39
99213 Established patient office or other outpatient visit, typically 15 minutes	321	232	$181.92	$70.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	243	171	$274.18	$101.67
92567 Eardrum testing using ear probe	130	112	$50.00	$15.13
31231 Diagnostic examination of nasal passages using an endoscope	98	87	$482.00	$175.91
69210 Removal of impacted ear wax	93	80	$126.34	$43.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	87	87	$406.67	$158.55
31575 Diagnostic exam of voice box using a flexible endoscope	69	66	$325.00	$114.48
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	53	50	$1563.11	$126.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$285.50	$100.00
95810 Sleep monitoring of patient (6 years or older) in sleep lab	49	49	$1455.00	$117.77
70486 CT scan of face	39	39	$827.00	$122.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	26	$115.00	$42.93
92504 Exam of ear using a microscope	26	23	$158.00	$27.28
95992 Repositioning maneuvers for treatment of vertigo, per day	17	17	$88.12	$42.08
31237 Biopsy or removal of nasal polyp or tissue using an endoscope	17	11	$1312.94	$346.24
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	16	16	$123.94	$48.85
92557 Comprehensive hearing and speech recognition test	13	13	$120.00	$32.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95165 Professional service for preparation and provision of 1 or more antigens	1,946	206	$25.54	$13.00
95117 Professional service for multiple injections of allergen	600	206	$40.00	$9.48
95004 Test for allergy using allergenic extract	546	13	$14.23	$3.94
95024 Injection of allergenic extracts into skin for immediate reaction analysis	505	14	$19.27	$7.45
95115 Injection of incremental dosages of allergen	492	162	$27.00	$8.37
99213 Established patient office or other outpatient visit, typically 15 minutes	405	278	$122.90	$68.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	188	147	$171.40	$98.45
92567 Eardrum testing using ear probe	165	143	$50.00	$14.22
31231 Diagnostic examination of nasal passages using an endoscope	115	91	$471.46	$174.67
69210 Removal of impacted ear wax	94	86	$118.57	$43.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	87	87	$173.37	$103.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	78	78	$260.13	$152.03
31575 Diagnostic exam of voice box using a flexible endoscope	67	59	$325.00	$102.59
92504 Exam of ear using a microscope	36	25	$158.00	$26.88
70486 CT scan of face	35	34	$827.00	$120.63
95810 Sleep monitoring of patient (6 years or older) in sleep lab	31	31	$1473.87	$117.05
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	25	25	$108.00	$44.68
95992 Repositioning maneuvers for treatment of vertigo, per day	18	14	$84.00	$42.97
92557 Comprehensive hearing and speech recognition test	16	15	$120.00	$28.60
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	16	16	$1570.31	$124.45
69433 Incision of eardrum with insertion of eardrum tube under local or topical anesthesia	12	11	$481.00	$188.32
92511 Exam of the nose and throat using an endoscope	12	11	$329.17	$103.13
94010 Test to measure expiratory airflow and volume	11	11	$104.00	$32.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95165 Professional service for preparation and provision of 1 or more antigens	1,184	136	$24.94	$11.10
95024 Injection of allergenic extracts into skin for immediate reaction analysis	990	31	$14.14	$7.41
95004 Test for allergy using allergenic extract	864	30	$9.10	$4.79
95115 Injection of incremental dosages of allergen	512	169	$27.00	$8.01
95117 Professional service for multiple injections of allergen	428	148	$40.00	$9.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	363	226	$142.89	$96.96
99213 Established patient office or other outpatient visit, typically 15 minutes	326	229	$100.00	$68.03
92567 Eardrum testing using ear probe	165	140	$50.00	$13.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	116	116	$216.24	$152.68
31231 Diagnostic examination of nasal passages using an endoscope	112	82	$453.11	$185.51
31575 Diagnostic exam of voice box using a flexible endoscope	74	68	$325.00	$100.19
92504 Exam of ear using a microscope	63	56	$158.00	$26.39
92557 Comprehensive hearing and speech recognition test	58	55	$120.00	$32.07
69210 Removal of impacted ear wax	56	52	$113.79	$44.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$149.00	$103.36
70486 CT scan of face	40	37	$827.00	$122.53
92511 Exam of the nose and throat using an endoscope	36	32	$320.00	$98.09
95992 Repositioning maneuvers for treatment of vertigo, per day	33	21	$84.00	$39.71
31237 Biopsy or removal of nasal polyp or tissue using an endoscope	27	14	$1004.44	$303.49
94010 Test to measure expiratory airflow and volume	20	20	$104.00	$31.55
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	16	16	$108.00	$49.99
36415 Insertion of needle into vein for collection of blood sample	15	15	$25.00	$2.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95024 Injection of allergenic extracts into skin for immediate reaction analysis	760	19	$13.60	$5.96
95165 Professional service for preparation and provision of 1 or more antigens	737	96	$24.00	$11.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	442	271	$142.00	$99.69
95115 Injection of incremental dosages of allergen	410	141	$27.00	$7.90
95117 Professional service for multiple injections of allergen	380	132	$40.00	$9.12
99213 Established patient office or other outpatient visit, typically 15 minutes	284	222	$99.98	$68.76
92567 Eardrum testing using ear probe	191	167	$50.00	$13.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	149	149	$215.32	$155.24
69210 Removal of impacted ear wax	92	85	$108.00	$43.77
31231 Diagnostic examination of nasal passages using an endoscope	91	53	$448.00	$192.43
92504 Exam of ear using a microscope	91	71	$158.00	$27.38
31575 Diagnostic exam of voice box using a flexible endoscope	72	61	$325.00	$105.65
92511 Exam of the nose and throat using an endoscope	66	61	$320.00	$98.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$149.00	$101.73
70486 CT scan of face	49	49	$827.00	$123.32
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	38	35	$1560.00	$571.87
95810 Sleep monitoring of patient (6 years or older) in sleep lab	36	36	$1455.00	$539.62
95992 Repositioning maneuvers for treatment of vertigo, per day	22	16	$84.00	$41.58
92540 Evaluation and testing for balance with recording	20	19	$657.00	$87.62
92537 Test to assess balance during warm and cool irrigation in both ears	19	18	$240.00	$36.41
94010 Test to measure expiratory airflow and volume	17	17	$104.00	$30.81
36415 Insertion of needle into vein for collection of blood sample	15	15	$25.00	$2.74
92557 Comprehensive hearing and speech recognition test	14	14	$120.00	$23.31
69433 Incision of eardrum with insertion of eardrum tube under local or topical anesthesia	13	12	$629.00	$209.81
31579 Exam to assess movement of vocal cord flaps using an endoscope	11	11	$683.00	$167.54

Medical Specialties & State Licenses

CMS Verified: 2025-06-02

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License GA 63492

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Otolaryngology

NUCC Taxonomy Code: 207Y00000X

State License SC 40043

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Hospital & Practice Group Affiliations

Self Medical Group

1325 Spring St, Greenwood, SC 296463860

Phone: 8647254111

Augusta Ent Pc

340 N Belair Rd, Evans, GA 308093000

Phone: 7068685676

Augusta Ent Pc

170 University Pkwy, Aiken, SC 298016308

Phone: 7068685676

Secondary Practice Locations

1015 Spring St

Greenwood, SC 296463831

Phone: 8642276741

Practice Associates & Co-Workers

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

23 Associated Practitioners

Dr. Jonathan Rutledge , MD

Otolaryngology

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Doctor of Medicine (M.D.)

Dr. Edward Porubsky , MD

Otolaryngology - Facial Plastic Surgery

NPI 1043286313

Doctor of Medicine (M.D.)

Dr. Sarah Davies , AuD

Audiologist

NPI 1093443681

Doctor of Audiology

Dr. Brent Griffin , MD

Internal Medicine - Allergy & Immunology

NPI 1104208743

Doctor of Medicine (M.D.)

Dr. Ralph Owen , MD

Otolaryngology - Facial Plastic Surgery

NPI 1134195407

Doctor of Medicine (M.D.)

Dr. John Harmon , MD

Otolaryngology - Facial Plastic Surgery

NPI 1174596712

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2025

Otolaryngology (License #40043 in SC)

✅

NPI Profile Active August 25, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location August 25, 2010

Registered at 340 N BELAIR RD, EVANS, GA 308093000 (Tel: 7068685676)

📍

Updated Business Mailing Address August 25, 2010

Registered at 340 N BELAIR RD, EVANS, GA 308093000 (Tel: 7068685676)

👤

Provider Name / Credentials Updated August 25, 2010

Recorded as JONATHAN LINDMAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2010

Specialist (License #63492 in GA)

🟢

Initial NPI Registration & Enumeration April 05, 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: 1740242692

Entity Type:

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

Enumeration Date: April 05, 2006

Last Update: June 02, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

340 N Belair Rd

Evans, GA 308093000

Phone: 7068685676

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.