Vcp2 Augusta PC
NPI 1124456306ActiveOrganization· Surgery, Vascular Surgery· Evans, GA
Surgery, Vascular Surgery in Evans, Georgia, registered in NPPES in October 2013. The authorized official on file is Jewell Halliburton, Regional Practice Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1124456306 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 24, 2013 |
| Last updated in NPPES | Jun 19, 2023 |
| Certified by provider | Jun 19, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
Other vascular surgeons in Evans
- 1114782968
- 1194079962
- 1790123206
- 1811937402