NPI age
20 years
Enumerated 2006-05-16
● Active
Type 1 · Individual
DR. Scott D Pethke, M.D.
Pethke is 1 of 35 internal medicine providers in Augusta and 1 of 539 in Georgia.
Primary specialty
Internal Medicine
Plus 2 subspecialties
Licensed in
GA, LA
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-07-31
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 539 active internal medicine providers in Georgia.
NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
2 states
Top 79% — 20% of peers are multi-state
Subspecialties
1
In the 60% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-05Enumerated in NPPES
2006
2026
Where they practice
Practice location
1301 Broad St
Augusta, GA 309011055
Mailing address
1301 Broad St
Augusta, GA 309011055
Specialties
-
Internal Medicine PrimaryAn internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex...
-
Internal MedicineAn 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (LA) | 1492582 | |
| 01 (LA) | 5808779 | AETNA |
| 01 (LA) | 4800148 | UNITED HEALTHCARE |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.