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AUGUSTA ENT PC
NPI 1124185210
Specialist in Augusta, GA

Active since January 02, 2007
1303 DANTIGNAC ST, SUITE 1000, AUGUSTA, GA 30901(706) 868-5676(706) 722-2824 Get Directions Write a Review

NPPES record last updated: May 14, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Augusta Ent Pc NPPES

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

AUGUSTA ENT PC (NPI 1124185210) is a healthcare organization registered as a specialist in Augusta, Georgia and active in the NPI registry since January 2007. The organization lists Jammie Lee Sparks, Billing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1124185210
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameAUGUSTA ENT PC
Location Address1303 DANTIGNAC ST, SUITE 1000Augusta, GA 30901-2775
Mailing Address340 N Belair RdEvans, GA 30809-3000 · (706) 868-5676 · Fax (706) 722-2824
Phone(706) 868-5676
Fax(706) 722-2824
Organization SubpartNo
Authorized OfficialJammie Lee SparksBilling Supervisor · (706) 868-5676
Enumeration DateJanuary 2, 2007
Last NPPES UpdateMay 14, 2008
✔ NPI 1124185210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
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.
1303 DANTIGNAC ST, Augusta, GA 30901
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Other Identifiers 1

Medicare ID-Type UnspecifiedGRP1536GA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Augusta Ent Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

22

Medicare enrollment records show 22 clinicians reassign Medicare billing to Augusta Ent PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 18 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Otolaryngology14
Nurse Practitioner4
Allergy/Immunology2
Qualified Audiologist2

Nearest to this location (20)

See all 22
Bari Levens, AUD, CCC-A
Qualified Audiologist
NPI 1356450209
1303 DANTIGNAC STREET SUITE 1000
Augusta, GA 30901
(706) 868-5676
✔ Accepts MedicareSame address
Alishia Mccoullough, FNP-C, FNP-BC
Nurse Practitioner
NPI 1982197570
1350 WALTON WAY
Augusta, GA 30901
(706) 722-9011
✔ PECOS✔ Accepts Medicare0.1 mi
Taylor Daniel, DNP, FNP-C
Nurse Practitioner
NPI 1992486146
720 SAINT SEBASTIAN WAY
Augusta, GA 30901
(706) 868-5676
✔ PECOS✔ Accepts Medicare0.2 mi
Meredith Carr, APRN
Nurse Practitioner
NPI 1720634397
3121 PEACH ORCHARD RD STE 103
Augusta, GA 30906
(706) 792-5057
✔ PECOS✔ Accepts Medicare5.0 mi
Scott Walton, M.D.
Otolaryngology
NPI 1073970091
300 E HOSPITAL RD
Ft. Gordon, GA 30905
(801) 400-5439
✔ PECOS✔ Accepts Medicare9.1 mi
Gena Bonitatibus, M.D.
Allergy/Immunology
NPI 1184621310
4350 TOWNE CENTRE DR STE 1500
Evans, GA 30809
(706) 421-1700
✔ PECOS✔ Accepts Medicare9.4 mi
Vanitcha Pintavorn, MD
Allergy/Immunology
NPI 1215931555
418 TOWN PARK BLVD SUITE 1A
Evans, GA 30809
(706) 650-1662
✔ PECOS✔ Accepts Medicare9.8 mi
Christopher Ayers, M.D.
Otolaryngology
NPI 1952697633
340 N BELAIR RD
Evans, GA 30809
(706) 868-5676
✔ PECOS✔ Accepts Medicare9.9 mi
William Barfield, MD
Otolaryngology
NPI 1386618155
340 N BELAIR RD
Evans, GA 30809
(706) 868-5676
✔ PECOS✔ Accepts Medicare9.9 mi
Robert Deal, MD
Otolaryngology
NPI 1376654269
340 N BELAIR RD
Evans, GA 30809
(706) 868-5676
✔ PECOS✔ Accepts Medicare9.9 mi
Ralph Owen, MD
Otolaryngology
NPI 1134195407
340 N BELAIR RD
Evans, GA 30809
(706) 868-5676
✔ PECOS✔ Accepts Medicare9.9 mi
Edward Porubsky, MD
Otolaryngology
NPI 1043286313
340 N BELAIR RD
Evans, GA 30809
(706) 868-5676
✔ PECOS✔ Accepts Medicare9.9 mi
Jonathan Rutledge, M.D.
Otolaryngology
NPI 1023242195
340 N BELAIR RD
Evans, GA 30809
(706) 868-5676
✔ PECOS✔ Accepts Medicare9.9 mi
Christopher Vickery, MD
Otolaryngology
NPI 1952377228
340 N BELAIR RD
Evans, GA 30809
(706) 868-5676
✔ PECOS✔ Accepts Medicare9.9 mi
Alan Whitehouse, MD
Otolaryngology
NPI 1588637227
340 N BELAIR RD
Evans, GA 30809
(706) 868-5676
✔ PECOS✔ Accepts Medicare9.9 mi
Jonathan Lindman, MD
Otolaryngology
NPI 1740242692
340 N BELAIR RD
Evans, GA 30809
(706) 868-5676
✔ PECOS✔ Accepts Medicare9.9 mi
Lauren White, M.D.
Otolaryngology
NPI 1528354669
340 N BELAIR RD
Evans, GA 30809
(706) 721-4307
✔ PECOS✔ Accepts Medicare9.9 mi
James Kimbrough, MD
Otolaryngology
NPI 1568585776
340 NORTH BELAIR ROAD
Evans, GA 30809
(706) 868-5676
✔ PECOS✔ Accepts Medicare9.9 mi
Sarah New, NP
Nurse Practitioner
NPI 1598355174
4039 GATEWAY BLVD
Grovetown, GA 30813
(706) 922-1600
✔ PECOS✔ Accepts Medicare13 mi
Emily Cyr, AUD
Qualified Audiologist
NPI 1487107660
74 PHYSICIAN DR
Aiken, SC 29801
(706) 868-5676
✔ Accepts Medicare14 mi
See all 22 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Augusta Ent PC's NPI number?

The NPI number for Augusta Ent PC is 1124185210. It was assigned to this organization in the NPPES registry on January 2, 2007.

Where is Augusta Ent PC located?

Augusta Ent PC is located at 1303 Dantignac St Suite 1000, Augusta, GA 30901. The listed phone number is (706) 868-5676.

What is Augusta Ent PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Augusta Ent PC enrolled in Medicare?

Yes. Augusta Ent PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Augusta Ent PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 22 clinicians in 4 Medicare specialties reassign their Medicare billing to Augusta Ent PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Otolaryngology (14), Nurse Practitioner (4) and Allergy/Immunology (2). Of these, 1 practice at this address and 18 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Augusta Ent PC was last updated on May 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.