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SOUTHERN INTERNAL MEDICINE CRITICAL CARE ASSOCIATES, LLC
NPI 1750775789
Internal Medicine - Critical Care Medicine in Augusta, GA

Active since March 27, 2015
3614 J DEWEY GRAY CIR, BULDING B, AUGUSTA, GA 30909(706) 504-4651(706) 504-4639 Get Directions Write a Review

NPPES record last updated: March 27, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southern Internal Medicine Critical Care Associates, Llc NPPES

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

SOUTHERN INTERNAL MEDICINE CRITICAL CARE ASSOCIATES, LLC (NPI 1750775789) is a healthcare organization registered as a critical care medicine in Augusta, Georgia and active in the NPI registry since March 2015. The organization lists Joseph R Shaver, Owner, as its authorized official.

NPPES Registry Identity

NPI1750775789
Entity TypeOrganization
Primary Taxonomy207RC0200X
Legal Business NameSOUTHERN INTERNAL MEDICINE CRITICAL CARE ASSOCIATES, LLC
Location Address3614 J DEWEY GRAY CIR, BULDING BAugusta, GA 30909-6602
Mailing AddressPo Box 6750Augusta, GA 30916-6750 · (706) 504-4651 · Fax (706) 504-4639
Phone(706) 504-4651
Fax(706) 504-4639
Organization SubpartNo
Authorized OfficialJoseph R ShaverOwner · (706) 339-5092
Enumeration DateMarch 27, 2015
✔ NPI 1750775789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in GA · 042430
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 042430 (GA)
3614 J DEWEY GRAY CIR, Augusta, GA 30909
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

KENNETH W REEVES M.D.
Internal Medicine (Cardiovascular Disease)
3614 J DEWEY GRAY CIR, STE A
AUGUSTA, GA 30909
Richmond County (706) 863-5635
AUGUSTA CENTRE FOR DERMATOLOGY & SKIN RENEWAL LLC
Clinic/Center (Medical Specialty)
3614 J DEWEY GRAY CIR, STE B
AUGUSTA, GA 30909
Richmond County (706) 447-3909
DR. ANDREW E DICK M.D.
Specialist
3614 J DEWEY GRAY CIR, SUITE B
AUGUSTA, GA 30909
Richmond County (706) 868-8854
SANTANA MARIA ROBINSON ARNP, FNP-C
Nurse Practitioner (Family)
3614 J DEWEY GRAY CIR
AUGUSTA, GA 30909
Richmond County (706) 868-7380
DR. TITO C SOBRINHO M.D.
Pediatrics (Adolescent Medicine)
3614 J DEWEY GRAY CIR
AUGUSTA, GA 30909
Richmond County (706) 860-2949

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 Southern Internal Medicine Critical Care Associates, LLC's NPI number?

The NPI number for Southern Internal Medicine Critical Care Associates, LLC is 1750775789. It was assigned to this organization in the NPPES registry on March 27, 2015.

Where is Southern Internal Medicine Critical Care Associates, LLC located?

Southern Internal Medicine Critical Care Associates, LLC is located at 3614 J Dewey Gray Cir Bulding B, Augusta, GA 30909. The listed phone number is (706) 504-4651.

What is Southern Internal Medicine Critical Care Associates, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

When was this NPI record last updated?

The NPPES record for Southern Internal Medicine Critical Care Associates, LLC was last updated on March 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.