Individual provider Active NPI

Vairagi Choksy

  • Medical Physician Assistant
  • Augusta, GA
National Provider Identifier
1023420197
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
7145 Issued in GA
Practice address
811 13TH St
Suite 10
Augusta, GA 30901-2700
Phone
(706) 434-1590
NPI assigned
May 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 7145 GA Primary

Addresses

Primary practice location

811 13TH St
Suite 10
Augusta, GA 30901-2700

Mailing address

811 13TH St
Augusta, GA 30901-2700
Phone (706) 434-1590

Other names 1

  • Vairagi Shah Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180515000570 AR Practitioner - Physician Assistant 2264654375 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
7145GAMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Services CurrentSince Dec 7, 2019 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980

1120 Lexington Ave
Fort Smith, AR 72901
Phone (479) 709-7260

1500 Dodson Ave
Ste 285B
Fort Smith, AR 72901
Phone (479) 709-7025

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1400803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1023420197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 13TH ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012700",
            "telephone_number": "706-434-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 13TH ST",
            "address_2": "SUITE 10",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012700",
            "telephone_number": "706-434-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOKSY",
        "first_name": "VAIRAGI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-23",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "7145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VAIRAGI",
            "last_name": "SHAH",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.