Active NPI
Lelia R Brigmon, PHARM.D.
- Psychiatric Pharmacist
- Augusta, GA
National Provider Identifier
1194779587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Pharmacist
- License
- 010594
- Practice address
- 1 Freedom Way
Vamc- MH&Geriatrics 263
Augusta, GA 30904-6258 - Phone
- (706) 733-0188
- Fax
- (706) 731-7164
- NPI assigned
- May 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Pharmacist | 1835P1300X | PS23880 | FL | |
| Psychiatric Pharmacist | 1835P1300X | 010594 | SC | Primary |
| Geriatric Pharmacist | 1835G0303X | 3720 | FL |
Addresses
Primary practice location
1 Freedom Way
Vamc- MH&Geriatrics 263
Augusta, GA 30904-6258
Mailing address
512 San Salvador Dr
North Augusta, SC 29841-3509
Phone (803) 640-9141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS23880 | FL | MD | Psychiatric Pharmacist |
| 010594 | SC | MD | Psychiatric Pharmacist |
| 3720 | FL | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206403200000",
"number": "1194779587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 SAN SALVADOR DR",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298413509",
"telephone_number": "803-640-9141",
"fax_number": "803-278-3306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 FREEDOM WAY",
"address_2": "VAMC- MH&GERIATRICS 263",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309046258",
"telephone_number": "706-733-0188",
"fax_number": "706-731-7164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIGMON",
"first_name": "LELIA",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-20",
"last_updated": "2008-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "FL",
"license": "PS23880",
"primary": false
},
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "SC",
"license": "010594",
"primary": true
},
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "FL",
"license": "3720",
"primary": false
}
],
"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 Mar 25, 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.