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EMMA KALTHEEN HAZENBERG
NPI 1013775105
Technician, Other in Augusta, GA

Active since March 12, 2024PECOS Enrolled
1120 15TH ST, AUGUSTA, GA 30912(706) 721-3186 Get Directions Write a Review

NPPES record last updated: March 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Emma Kaltheen Hazenberg NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMMA KALTHEEN HAZENBERG (NPI 1013775105) is an individual technician, other provider in Augusta, Georgia and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013775105
Entity TypeIndividualFemale
Primary Taxonomy247200000X
Provider Legal NameEMMA KALTHEEN HAZENBERG
Location Address1120 15TH STAugusta, GA 30912-0006
Mailing Address5097 Overlook Dr NeRoswell, GA 30075-5460 · (404) 861-2552
Phone(706) 721-3186
Sole ProprietorNo
Enumeration DateMarch 12, 2024
NPPES CertifiedMarch 12, 2024
✔ NPI 1013775105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247200000X
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
1120 15TH ST, Augusta, GA 30912
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emma Kaltheen Hazenberg is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TOYA HESTER KELLEY MD
Family Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-3157
DR. JACK BRADLEY ELLIS D.O.
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
MR. ROBERT SCOTT SMITH FNP-C
Nurse Practitioner (Family)
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8549
SAMI MOHAMMED ALSHEHRY
Student in an Organized Health Care Education/Training Program
1120 15TH ST, 1065
AUGUSTA, GA 30912
Richmond County (706) 721-2411
LUIS ALBERTO VELASQUEZ ZARATE M.D
Pathology (Anatomic Pathology & Clinical Pathology)
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-2771
DR. BRYAN RICHARD BROACH M.D.
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
JANELLE MCGILL M.D.
Pediatrics
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
DR. KAYLA ASHLEY SHAHBAZIAN DO
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emma Hazenberg's NPI number?

The NPI number for Emma Hazenberg is 1013775105. It was assigned to this individual provider in the NPPES registry on March 12, 2024.

Where is Emma Hazenberg located?

Emma Hazenberg practices at 1120 15th St, Augusta, GA 30912. The listed phone number is (706) 721-3186.

What is Emma Hazenberg's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

Is Emma Hazenberg enrolled in Medicare?

Yes. Emma Hazenberg is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Emma Hazenberg was last updated on March 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.