NPIMap

Organization Active NPI

Fresenius Vascular Care Augusta, LLC

  • Vascular & Interventional Radiology Physician
  • Augusta, GA
National Provider Identifier
1134412331
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
FRESENIUS VASCULAR CARE AUGUSTA, LLC
Practice address
630 13TH St Ste 250
Augusta, GA 30901-1017
Phone
(706) 724-2500
Fax
(706) 731-5289
NPI assigned
May 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Authorized official

Name
Dr. Gregg Arthur Miller, MD
Title
Authorized Official
Phone
(717) 515-4048

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X Primary

Addresses

Primary practice location

630 13TH St Ste 250
Augusta, GA 30901-1017

Mailing address

PO Box 418427
Boston, MA 02241-8427
Phone (610) 644-8900

Other practice location 1

3623 J Dewey Gray Cir Ste 100
Augusta, GA 30909-6511
Phone (706) 854-9932

Other practice location 2

630 13th St Ste 105
Augusta, GA 30901-1003
Phone (706) 724-2500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120307000043 GA Part B Supplier - Clinic/Group Practice 8527227875 Receives reassigned benefits from 15 practitioners
Practice locations: Augusta, GA

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

630 13th St
Ste 105
Augusta, GA 30901
Phone (706) 724-2500

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1305849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1134412331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 418427",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022418427",
            "telephone_number": "610-644-8900",
            "fax_number": "484-924-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 13TH ST STE 250",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309011017",
            "telephone_number": "706-724-2500",
            "fax_number": "706-731-5289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3623 J Dewey Gray Cir Ste 100",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309096511",
            "country_code": "US",
            "telephone_number": "706-854-9932",
            "fax_number": "706-854-9304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "630 13th St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309011003",
            "country_code": "US",
            "telephone_number": "706-724-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FRESENIUS VASCULAR CARE AUGUSTA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-20",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "717-515-4048",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "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 14, 2025; 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.