NPIMap

Organization Active NPI

Medex Associates, LLC

  • Rehabilitation Hospital
  • Augusta, GA
National Provider Identifier
1124354782
Registry record updated Nov 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
License
005657 Issued in GA
Legal business name
MEDEX ASSOCIATES, LLC
Practice address
630 13TH St Ste 100
Augusta, GA 30901-1016
Phone
(706) 434-1590
Fax
(706) 434-1595
NPI assigned
Nov 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2009

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

Authorized official

Name
Hetal Thakore, M.D.
Title
Internist
Phone
(706) 434-1590

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 005657 GA
Rehabilitation Hospital 283X00000X 005657 GA Primary

Addresses

Primary practice location

630 13TH St Ste 100
Augusta, GA 30901-1016

Mailing address

630 13TH St Ste 100
Augusta, GA 30901-1016
Phone (706) 434-1590

National Provider Directory

National Provider Directory
Tax ID family
Medex Associates LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257120000000",
    "number": "1124354782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 13TH ST STE 100",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309011016",
            "telephone_number": "706-434-1590",
            "fax_number": "706-434-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 13TH ST STE 100",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309011016",
            "telephone_number": "706-434-1590",
            "fax_number": "706-434-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEX ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-02",
        "last_updated": "2009-11-02",
        "status": "A",
        "authorized_official_last_name": "THAKORE",
        "authorized_official_first_name": "HETAL",
        "authorized_official_title_or_position": "INTERNIST",
        "authorized_official_telephone_number": "706-434-1590",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "GA",
            "license": "005657",
            "primary": false
        },
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "GA",
            "license": "005657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 2, 2009; 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.