NPIMap

Organization Active NPI

Neighborhood Improvement Project Inc

  • Federally Qualified Health Center (FQHC)
  • Waynesboro, GA
National Provider Identifier
1043961980
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
NEIGHBORHOOD IMPROVEMENT PROJECT INC
Practice address
500 Park Dr BLDG 3
Waynesboro, GA 30830-1625
Phone
(762) 783-0301
Fax
(762) 783-0302
NPI assigned
Jan 12, 2022
Last updated
Jan 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Authorized official

Name
Wesley Wood
Title
Cfo
Phone
(706) 790-4440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

500 Park Dr BLDG 3
Waynesboro, GA 30830-1625

Mailing address

2467 Golden Camp Rd
Augusta, GA 30906-5515
Phone (706) 790-4440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031117000665 GA Part B Supplier - Clinic/Group Practice 7315851078 Receives reassigned benefits from 103 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Evans, GA; Keysville, GA; Lincolnton, GA; Thomson, GA; Waynesboro, GA; Wrens, GA; Augusta, GA
O20220316004077 GA Part A Provider - Federally Qualified Health Center (FQHC) 7315851078 Practice locations: Waynesboro, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043961980. Details of each certification follow.

Federally qualified health center certification: CCN 851162

Legal name
NEIGHBORHOOD IMPROVEMENT PROJECT, INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 4, 2022
Last certification
Feb 4, 2022
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 7, 2022 in GA
Enrollment address
500 Park Dr
BLDG 3
Waynesboro, GA 30830-1625

Other NPIs with the same Medicare PAC ID 24

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 24

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Neighborhood Improvement Project Inc35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

Locations

500 Park Dr
Bldg 3
Waynesboro, GA 30830
Phone (762) 783-0301

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Melvin Lowry Individual Other Dec 5, 2007
Janice Bailey Individual Other Dec 5, 2007
Angela Goodwin Individual Other Dec 5, 2007
Willie Saunders Individual Other Dec 5, 2007
Neighborhood Improvement Project, Inc Organization, Augusta, GA Corporation Operational/Managerial Control Jan 7, 2022
James Williams Individual Other Dec 5, 2007
Wesley Wood Individual Corporate OfficerCfo Jan 1, 2015
Operational/Managerial ControlCfo Jan 1, 2015
Francine Holmes Individual Other Dec 5, 2007
Nancy Ross Individual Other Dec 5, 2007
Willie Jones Individual Other Dec 5, 2007
Barbara Washington Individual Other Dec 5, 2007

Owners & managing parties with NPI records 24

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 24

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Medical Associates Plus at WrensWrens, GA, CCN 111976 Federally qualified health center Operational/Managerial Control Dec 1, 2013
Neighborhood Improvement Project, IncAugusta, GA, CCN 111038 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2016
Medical Associates PlusKeysville, GA, CCN 111042 Federally qualified health center Operational/Managerial Control Jan 1, 2016
Medical Associates PlusAugusta, GA, CCN 851169 Federally qualified health center Operational/Managerial Control (100%) Apr 1, 2022
Medical Associates PlusWaynesboro, GA, CCN 851175 Federally qualified health center Operational/Managerial Control Jul 1, 2022
Medical Associates PlusAugusta, GA, CCN 851176 Federally qualified health center Operational/Managerial Control Oct 1, 2022
Medical Associates PlusThomson, GA, CCN 111189 Federally qualified health center Operational/Managerial Control Jan 1, 2023
Medical Associates PlusAiken, SC, CCN 421121 Federally qualified health center Other Dec 1, 2024

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 7

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1043961980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2467 GOLDEN CAMP RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309065515",
            "telephone_number": "706-790-4440",
            "fax_number": "706-790-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PARK DR BLDG 3",
            "city": "WAYNESBORO",
            "state": "GA",
            "postal_code": "308301625",
            "telephone_number": "762-783-0301",
            "fax_number": "762-783-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD IMPROVEMENT PROJECT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "706-790-4440"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesboro, GA

Sources for this page

Verify at the official NPI Registry.