NPIMap

Organization Active NPI

Orthopaedic Associates of Augusta PA

  • Orthopaedic Surgery Physician
  • Augusta, GA
National Provider Identifier
1124053228
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOPAEDIC ASSOCIATES OF AUGUSTA PA
Practice address
811 13TH St
Ste 20
Augusta, GA 30901
Phone
(706) 722-3401
Fax
(706) 724-6540
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Authorized official

Name
Sindi S Azar
Title
Business Manager
Phone
(706) 722-3401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

811 13TH St
Ste 20
Augusta, GA 30901

Mailing address

811 13TH St
Ste 20
Augusta, GA 30901
Phone (706) 722-3401

Other practice location 1

2511 Associates Way
Evans, GA 30809-3106
Phone (706) 722-3401

Other practice location 2

150 Main St
Thomson, GA 30824-2662
Phone (706) 722-3401

Other identifiers 1

IdentifierTypeStateIssuer
300019539CMedicaidGA

Other names 1

  • Legend Orthopedics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040415000119 GA Part B Supplier - Clinic/Group Practice 5597750166 Receives reassigned benefits from 24 practitioners
Practice locations: Augusta, GA; Evans, GA; Waynesboro, GA

National Provider Directory

National Provider Directory

Locations

2511 Associates Way
Ste 101
Evans, GA 30809

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17761/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1124053228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 13TH ST",
            "address_2": "STE 20",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30901",
            "telephone_number": "706-722-3401",
            "fax_number": "706-724-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 13TH ST",
            "address_2": "STE 20",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30901",
            "telephone_number": "706-722-3401",
            "fax_number": "706-724-6540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2511 Associates Way",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308093106",
            "country_code": "US",
            "telephone_number": "706-722-3401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Main St",
            "address_purpose": "LOCATION",
            "city": "Thomson",
            "state": "GA",
            "postal_code": "308242662",
            "country_code": "US",
            "telephone_number": "706-722-3401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORTHOPAEDIC ASSOCIATES OF AUGUSTA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "AZAR",
        "authorized_official_first_name": "SINDI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "706-722-3401"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300019539C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legend Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.