Augusta Interventional Pain and Rehabilitation

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

67138 Issued in GA

Legal business name

AUGUSTA INTERVENTIONAL PAIN AND REHABILITATION

Practice address

1355 Independence Dr
Augusta, GA 30901-1037

Phone

(419) 508-4608

NPI assigned

Mar 7, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Venkata Lakkimsetty, MDNPI 1679781793

Title

Physician

Phone

(419) 508-4608

Specialties & licenses 2

Addresses

Practitioners 1

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

• Venkata Mohan Raju Lakkimsetty, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Augusta, GA
  • NPI 1679781793

  Pain Medicine

  NPD (past) Authorized official

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1215201355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 BON AIR DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309074872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 INDEPENDENCE DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309011037",
            "telephone_number": "419-508-4608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA INTERVENTIONAL PAIN AND REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "LAKKIMSETTY",
        "authorized_official_first_name": "VENKATA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "419-508-4608",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "67138",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "GA",
            "license": "67138",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Augusta Hypertention, P.C.
• Augusta Inpatient Hospice Home LLC
• Augusta Inpatient Services, LLC
• Augusta Inpatient Services, LLC
• Augusta Internal Medicine Associates, P.C.
• Augusta Laboratory, Inc.
• Augusta Lung Associates
• Augusta MD, P.C.
• Augusta Medical Care LLC
• Augusta Medical Systems, LLC

• All providers in Augusta, GA
• Physical Medicine & Rehabilitation Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; 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.