Individual provider Active NPI

Augustine Brown, N.P.

  • Adult Health Nurse Practitioner
  • Sanford, NC
National Provider Identifier
1114354503
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F306379-1 Issued in NY
Practice address
821 S Horner Blvd Ste a
Sanford, NC 27330-5343
Phone
(917) 554-3921
NPI assigned
Oct 1, 2013
Last updated
Aug 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X F340898-1 NY
Adult Health Nurse Practitioner 363LA2200X F306379-1 NY Primary

Addresses

Primary practice location

821 S Horner Blvd Ste a
Sanford, NC 27330-5343

Mailing address

821 S Horner Blvd Ste a
Sanford, NC 27330-5343
Phone (917) 554-3921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20200406000244 NC Practitioner - Nurse Practitioner 2264759661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunrise Vascular CenterGroup PAC ID 0840543922, 9 clinicians

Practice addresses (Care Compare)

1879 Old 421
Boone, NC 28607-6293
Phone (919) 589-6968

367 S Andy Griffith Pkwy
Suite 200
Mount Airy, NC 27030-4010
Phone (919) 589-6968

7819 National Service Rd
Suite 404
Greensboro, NC 27409-9401
Phone (919) 589-6968

821 S Horner Blvd
Suite B
Sanford, NC 27330-5343
Phone (919) 589-6968

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F306379-1NYMDAdult Health Nurse Practitioner
F340898-1NYMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Vascular Center CurrentSince May 29, 2021 Accepting new patients

Locations

237 N Fayetteville St
Ste B
Asheboro, NC 27203
Phone (336) 328-3444

724 Thomas St
Asheboro, NC 27203
Phone (336) 308-0155

49 McDowell St
Asheville, NC 28801
Phone (828) 252-0331

1879 Old 421 S
Boone, NC 28607
Phone (828) 262-1011

2054 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 467-3831

7819 National Service Rd
Ste 404
Greensboro, NC 27409
Phone (336) 420-4658

530 N Elam Ave
Greensboro, NC 27403
Phone (336) 299-0271

119 Ingram Dr
King, NC 27021
Phone (336) 443-9190

367 S Andy Griffith Pkwy
#200
Mount Airy, NC 27030
Phone (336) 443-9190

75 Medical Park Ln
Ste A
Murphy, NC 28906
Phone (828) 647-0647

35 NC Highway 141
Murphy, NC 28906
Phone (828) 835-8389

3990 US Highway 64 E
Murphy, NC 28906
Phone (828) 837-5939

821 S Horner Blvd
Ste A
Sanford, NC 27330
Phone (917) 554-3921

821 S Horner Blvd
Ste B
Sanford, NC 27330

32 Asheville Hwy
Sylva, NC 28779
Phone (828) 586-8950

289 Access Rd
Waynesville, NC 28785
Phone (828) 452-4343

147 Columbine Dr
Winston Salem, NC 27106
Phone (336) 443-9190

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1114354503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 S HORNER BLVD STE A",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273305343",
            "telephone_number": "917-554-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 S HORNER BLVD STE A",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273305343",
            "telephone_number": "917-554-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "AUGUSTINE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-01",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "F340898-1",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F306379-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

Verify at the official NPI Registry.