NPIMap

Organization Active NPI

Augusta Specialty Hospitalists LLC

  • Neurology Physician
  • Augusta, GA
National Provider Identifier
1164711297
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
AUGUSTA SPECIALTY HOSPITALISTS LLC
Practice address
3623 J Dewey Gray Cir
Suite 113
Augusta, GA 30909-6511
Phone
(706) 855-0422
Fax
(706) 855-0495
NPI assigned
Mar 29, 2011
Last updated
Jan 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Authorized official

Name
Robert Faile
Title
Vice President
Phone
(843) 856-7923

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X Primary

Addresses

Primary practice location

3623 J Dewey Gray Cir
Suite 113
Augusta, GA 30909-6511

Mailing address

2000 Health Park Dr
Brentwood, TN 37027-4692
Phone (615) 373-7406

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110519000141 GA Part B Supplier - Clinic/Group Practice 5496931842 Receives reassigned benefits from 3 practitioners
Practice locations: Augusta, GA; Dublin, GA

National Provider Directory

National Provider Directory

Member of 1

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

Locations

3623 J Dewey Gray Cir
Ste 113
Augusta, GA 30909
Phone (706) 651-3664

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1164711297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274692",
            "telephone_number": "615-373-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3623 J DEWEY GRAY CIR",
            "address_2": "SUITE 113",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096511",
            "telephone_number": "706-855-0422",
            "fax_number": "706-855-0495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA SPECIALTY HOSPITALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "last_updated": "2024-01-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "FAILE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "843-856-7923"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "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 Jan 11, 2024; 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.