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CARLA JEAN COLASURDO DO
NPI 1629770565
Student in an Organized Health Care Education/Training Program in Augusta, GA

Active since March 21, 2023PECOS Enrolled
1120 15TH ST, AUGUSTA, GA 30912(706) 721-2273 Get Directions Write a Review

NPPES record last updated: June 21, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 6, 2026, Mar 21, 2023 (2 updates tracked since 2023).

About Carla Jean Colasurdo Do NPPES

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

CARLA JEAN COLASURDO DO (NPI 1629770565) is an individual student in an organized health care education/training program in Augusta, Georgia and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629770565
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCARLA JEAN COLASURDOCredential: DO
Location Address1120 15TH STAugusta, GA 30912-0004
Mailing Address1230 Baxter StAthens, GA 30606-3712 · (706) 389-3860 · Fax (706) 389-3861
Phone(706) 721-2273
Sole ProprietorNo
Enumeration DateMarch 21, 2023
Last NPPES UpdateJune 21, 20262 updates tracked since enumeration
NPPES CertifiedJune 21, 2026
✔ NPI 1629770565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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)

Carla Jean Colasurdo Do 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
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
ROSA MARIA LOPEZ RINCON
Anesthesiology
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 446-5836

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 Carla Colasurdo's NPI number?

The NPI number for Carla Colasurdo is 1629770565. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Where is Carla Colasurdo located?

Carla Colasurdo practices at 1120 15th St, Augusta, GA 30912. The listed phone number is (706) 721-2273.

What is Carla Colasurdo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Carla Colasurdo enrolled in Medicare?

Yes. Carla Colasurdo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carla Colasurdo was last updated on June 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.