Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Nathalie Mantilla Farfan, MD

Individual provider Surgery Physician · NPI 1972828671

Dr. Nathalie Mantilla Farfan, MD is a Colorectal Surgery (Proctology) in Augusta, Georgia. Qualified in 2002, 24 years ago. Practices with Piedmont Providers LLC, a 518-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and Illinois.

Years since qualifying
24
Licensed in
GA, IL
In the registry since
2010
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1348 Walton Way Ste 6500
Augusta, GA 30901-5111
Phone: (706) 722-2118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1900 W Polk St # 406, Chicago, IL 60612-3723 — (312) 864-3197

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence 101399 (GA)
Surgery Physician Taxonomy 208600000X · Licence 036140788 (IL)
Colon & Rectal Surgery Physician Taxonomy 208C00000X · Licence 036140788 (IL)

Record details

NPI number1972828671
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2010
Last updated in NPPESNovember 6, 2024
Certification dateNovember 6, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Piedmont Providers Llc — 518 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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