NPIMap

Organization Active NPI

VA Medical Center-Downtown Division/Augusta

  • Rehabilitation Hospital Unit
  • Hephzibah, GA
National Provider Identifier
1124295274
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
RD119877 Issued in GA
Legal business name
VA MEDICAL CENTER-DOWNTOWN DIVISION/AUGUSTA
Practice address
3336 Thames PL
Hephzibah, GA 30815-7176
Phone
(706) 792-0731
Fax
(706) 792-2731
NPI assigned
May 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Ms. Patricia Ann Haynes
Title
Registered Nurse-Staff Nurse
Phone
(706) 733-0188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X RD119877 GA Primary

Addresses

Primary practice location

3336 Thames PL
Hephzibah, GA 30815-7176

Mailing address

3336 Thames PL
Hephzibah, GA 30815-7176
Phone (706) 792-0731

National Provider Directory

National Provider Directory
Tax ID family
James a Haley Veterans' Hospital179 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 4

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1124295274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3336 THAMES PL",
            "city": "HEPHZIBAH",
            "state": "GA",
            "postal_code": "308157176",
            "telephone_number": "706-792-0731",
            "fax_number": "706-792-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3336 THAMES PL",
            "city": "HEPHZIBAH",
            "state": "GA",
            "postal_code": "308157176",
            "telephone_number": "706-792-0731",
            "fax_number": "706-792-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA MEDICAL CENTER-DOWNTOWN DIVISION/AUGUSTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "REGISTERED NURSE-STAFF NURSE",
        "authorized_official_telephone_number": "706-733-0188",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "GA",
            "license": "RD119877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hephzibah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.