Augusta Aesthetic Surgery

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

121224 Issued in GA

Legal business name

AUGUSTA AESTHETIC SURGERY

Practice address

2258 Wrightsboro Road Suite 180
Augusta, GA 30904

Phone

(706) 737-8827

Fax

(706) 737-8916

NPI assigned

Jul 12, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Gary Benton Williamson, MDNPI 1992721930

Title

Owner

Phone

(706) 737-8827

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary Benton Williamson, MD

  • Plastic and Reconstructive Surgery Physician
  • Augusta, GA
  • NPI 1992721930
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003841511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2258 WRIGHTSBORO ROAD SUITE 180",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30904",
            "telephone_number": "706-737-8827",
            "fax_number": "706-737-8916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2258 WRIGHTSBORO ROAD SUITE 180",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30904",
            "telephone_number": "706-737-8827",
            "fax_number": "706-737-8916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA AESTHETIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "BENTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-737-8827",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": "121224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51003458",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6749808",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Auga Anesthesia, LLC
• August University - Medical College of Georgia
• Ashley August, CERT. HOLISTIC NUTRI
• Augusta Acupuncture Clinic, Inc
• Augusta Advanced Dentistry LLC
• Augusta Area Psychiatric Associates (Brightmore Outpatient Services)
• Augusta Arthritis Center Inc
• Augusta Associates Int Med&RH
• Augusta Associates of Endodontics (Oconee Associates of Endodontics)
• Augusta Cardiac and Thoracic Surgery PC

• Ambulatory Surgical Clinic/Center in Augusta, GA
• Providers in Augusta, GA by specialty
• Ambulatory Surgical Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.