Augusta Urology Surgicenter, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

121-153 Issued in GA

Legal business name

AUGUSTA UROLOGY SURGICENTER, LLC

Practice address

811 13TH Street, Suite 17
Augusta, GA 30901-2700

Phone

(706) 724-4111

Fax

(706) 823-0533

NPI assigned

Apr 28, 2006

Last updated

Jan 11, 2012By 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

Ms. Linda G. Flowers

Title

Business Manager

Phone

(706) 724-4111

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

Augusta Urology SurgicenterCCN 11C0001143

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Richard Borden Sasnett Jr., MD

  • Urology Physician
  • Evans, GA
  • NPI 1073548095
  NPD (past)

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1114984523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 13TH STREET, SUITE 17",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012700",
            "telephone_number": "706-724-4111",
            "fax_number": "706-823-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 13TH STREET, SUITE 17",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012700",
            "telephone_number": "706-724-4111",
            "fax_number": "706-823-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA UROLOGY SURGICENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "FLOWERS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "706-724-4111",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": "121-153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00809509A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Augusta University (Augusta University Athletics)
• Augusta University
• Augusta University Medical Center
• Augusta University Medical Center
• Augusta University Student Health
• Augusta Vamc
• Augusta Vamc
• Augusta Vamc
• Augusta Vamc
• Augusta Vamc

• 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 Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.