NPIMap

Organization Active NPI

Select Specialty Hospital - Augusta Inc

  • Long Term Care Hospital
  • Augusta, GA
National Provider Identifier
1194722389
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
121-612 Issued in GA
Legal business name
SELECT SPECIALTY HOSPITAL - AUGUSTA INC
Practice address
1537 Walton Way
Augusta, GA 30904-3764
Phone
(706) 828-4490
Fax
(706) 828-4491
NPI assigned
Jul 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
Mr. John Duggan
Title
Vice President
Phone
(717) 972-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 121-612 GA Primary

Addresses

Primary practice location

1537 Walton Way
Augusta, GA 30904-3764

Mailing address

4714 Gettysburg Rd
Legal Dept.
Mechanicsburg, PA 17055-4325
Phone (717) 972-1100

Other identifiers 1

IdentifierTypeStateIssuer
51863073OtherGABCBS GA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041103000258 GA Part A Provider - Hospital 1658282413 Practice locations: Augusta, GA

Hospital certification: CCN 112013

Legal name
SELECT SPECIALTY HOSPITAL - AUGUSTA INC
Doing business as
SELECT SPECIALTY HOSPITAL - AUGUSTA
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Apr 1, 2004
Last certification
Feb 7, 2025
Beds
30
Ownership / control type
Private (for profit)
Organization structure
CorporationProprietary
Incorporated
Aug 6, 2002 in DE
Enrollment address
1537 Walton Way
Augusta, GA 30904-3764
Main/Primary Hospital Location
Hospital subgroups
Long-term

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Select Specialty Hospital - Augusta, IncCCN 112013
Ownership
For profit
Certified
Apr 1, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Beds
30

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D1016181Select Specialty Hospital - Augusta, Inc1537 Walton Way, Augusta, GA 30904AccreditationSep 10, 2027

National Provider Directory

National Provider Directory

Locations

1350 Walton Way
Fl 7
Augusta, GA 30901
Phone (706) 774-7101

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Select Medical Corporation Organization, Mechanicsburg, PA For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2005 100%
Operational/Managerial Control Jan 1, 2005 100%
Thomas Mullin Individual Corporate Officer Sep 5, 2025
Cynthia Greene Individual Corporate OfficerCeo Aug 18, 2023
W-2 Managing EmployeeCeo Aug 18, 2023
Operational/Managerial ControlCeo Aug 18, 2023
John Saich Individual Corporate Officer Sep 5, 2025
Robert Breighner Individual W-2 Managing EmployeeCompliance Officer Sep 5, 2025
Sempercare, Inc. Organization, Mechanicsburg, PA Corporation 5% Or Greater Direct Ownership Interest Aug 20, 2003
Michael Malatesta Individual Corporate Officer Sep 5, 2025
Robert Kido Individual Corporate Officer Sep 5, 2025
John Duggan Individual Corporate Officer Sep 5, 2025
Corporate Director Sep 5, 2025

Facilities with the same owner 129

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 129

Practitioners & affiliated clinicians

Practitioners 3

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

Affiliated clinicians 9

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1194722389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "address_2": "LEGAL DEPT.",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-972-1100",
            "fax_number": "717-975-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 WALTON WAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309043764",
            "telephone_number": "706-828-4490",
            "fax_number": "706-828-4491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT SPECIALTY HOSPITAL - AUGUSTA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-972-1100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "GA",
            "license": "121-612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GA",
            "identifier": "51863073",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.