Dr. Irineo Mina Sibal, M.D.
Family Medicine, Adolescent Medicine in Augusta, GA. Individual provider (NPI-1).
NPI number1114059136
StatusActive
Last updated in NPPESNov 8, 2026
Details
- NPI
- 1114059136
- Entity type
- Individual (NPI-1)
- Name
- Dr. Irineo Mina Sibal
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 12, 2007
- Last updated
- Nov 8, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QA0000X | Family Medicine, Adolescent Medicine | 0018845 | GA | Yes |
| 204D00000X | Neuromusculoskeletal Medicine & OMM | 0018845 | GA |
Practice location
3485 Mike Padgett HwyAugusta, GA 30906-3815
Phone 706-771-7843
Mailing address
3485 Mike Padgett HwyAugusta, GA 30906-3815
Phone 706-771-7843
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.