NPIMap

Organization Active NPI

Augusta Medical Group

  • General Practice Physician
  • Fishersville, VA
National Provider Identifier
1245489590
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
AUGUSTA MEDICAL GROUP
Doing business as
Augusta Medical Group
Practice address
78 Medical Center Dr
Fishersville, VA 22939-2332
Phone
(540) 932-5162
Fax
(540) 932-4616
NPI assigned
Sep 11, 2008
Last updated
Jul 25, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
AUGUSTA HEALTH CARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 25, 2013

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

Authorized official

Name
Mary N Mannix
Title
Fache
Phone
(540) 932-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

78 Medical Center Dr
Fishersville, VA 22939-2332

Mailing address

PO Box 388
Fishersville, VA 22939-0388
Phone (540) 932-5162

Other names 1

  • Augusta Medical Group Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081106000590 VA Part B Supplier - Clinic/Group Practice 3678632544 Receives reassigned benefits from 491 practitioners
Practice locations: Harrisonburg, VA; Fishersville, VA; Hinton, VA; Lexington, VA; Richmond, VA; Staunton, VA; Stuarts Draft, VA; Verona, VA…

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Waynesboro Comm Hosp PH

Locations

2054 Sycamore Ave
Buena Vista, VA 24416
Phone (540) 261-1315

540 Radford Ln
Ste 250
Charlottesville, VA 22903
Phone (434) 823-7596

22 N Medical Park Dr
Fishersville, VA 22939
Phone (540) 213-2630

51 Ivy Ridge Ln
Fishersville, VA 22939
Phone (540) 245-7262

57 N Medical Park Dr
Fishersville, VA 22939
Phone (540) 213-2525

57 N Medical Park Dr
Ste 105
Fishersville, VA 22939
Phone (540) 213-2810

70 Medical Center Cir
Ste 302
Fishersville, VA 22939
Phone (540) 221-7350

70 Medical Center Cir
Ste 308
Fishersville, VA 22939
Phone (540) 245-7190

79 N Medical Park Dr
Fishersville, VA 22939
Phone (540) 213-2525

644 University Blvd
Ste A
Harrisonburg, VA 22801
Phone (540) 434-7622

30 Greenhouse Rd
Lexington, VA 24450
Phone (540) 464-3465

1429 N Augusta St
Staunton, VA 24401
Phone (540) 688-2123

2570 Stuarts Draft Hwy
Ste 100
Stuarts Draft, VA 24477
Phone (540) 245-7800

2570 Stuarts Draft Hwy
Ste 101
Stuarts Draft, VA 24477
Phone (540) 245-7870

2927 Stuarts Draft Hwy
Ste 101
Stuarts Draft, VA 24477
Phone (540) 213-8760

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14718/brand/4/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 508

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 508

NPI Registry JSON

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374710400000",
    "number": "1245489590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229390388",
            "telephone_number": "540-932-5162",
            "fax_number": "540-932-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 MEDICAL CENTER DR",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392332",
            "telephone_number": "540-932-5162",
            "fax_number": "540-932-4616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AUGUSTA HEALTH CARE, INC",
        "enumeration_date": "2008-09-11",
        "last_updated": "2013-07-25",
        "status": "A",
        "authorized_official_last_name": "MANNIX",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "FACHE",
        "authorized_official_telephone_number": "540-932-4000"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Augusta Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fishersville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; 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.