Individual provider Active NPI

Neslyne Belinda Augustin, MD

  • Internal Medicine Physician
  • Wallingford, CT
National Provider Identifier
1245729631
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
72442 Issued in CT
Practice address
50 Gaylord Farm Rd
Wallingford, CT 06492-2828
Phone
(203) 284-2800
NPI assigned
May 1, 2018
Last updated
Apr 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P19-00463 NJ
Internal Medicine Physician 207R00000X 89886 GA
Internal Medicine Physician 207R00000X 25MA11229500 NJ
Internal Medicine Physician 207R00000X 72442 CT Primary

Addresses

Primary practice location

50 Gaylord Farm Rd
Wallingford, CT 06492-2828

Mailing address

209 E College St
Valdosta, GA 31602-3808
Phone (203) 690-6300

Other practice location 1

703 Main St
Paterson, NJ 07503-2621
Phone (973) 754-2000

Other practice location 2

267 Grant St
Bridgeport, CT 06610-2805
Phone (203) 384-3000

Other practice location 3

64 Robbins St
Waterbury, CT 06708-2613
Phone (203) 573-6000

Other practice location 4

2501 N Patterson St
Valdosta, GA 31602-1785
Phone (208) 292-7283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210913000214 GA Practitioner - HospitalistPractitioner - Internal Medicine 4789080045 Reassigns benefits to 3 organizations
I20221005000578 CT Practitioner - Internal Medicine 4789080045 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tift Regional Health System IncGroup PAC ID 2062745169, 294 clinicians
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians
Prospect CT Medical Foundation IncGroup PAC ID 7416244496, 287 clinicians

Practice addresses (Care Compare)

2225 US Hwy 41 N
Tifton, GA 31794-2749
Phone (229) 391-4100

2227 US Hwy 41 N
Tifton, GA 31794-2749
Phone (229) 353-6188

260 MJ Taylor Rd
Adel, GA 31620-3485
Phone (229) 896-8159

50 Gaylord Farm Rd
Wallingford, CT 06492-2828
Phone (203) 679-3553

64 Robbins St
Waterbury, CT 06708-2613
Phone (203) 573-6263

901 18TH St E
Tifton, GA 31794-3648
Phone (229) 382-7120

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA11229500NJMDInternal Medicine Physician
P19-00463NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tift Regional Health System Inc CurrentSince Aug 10, 2023 Accepting new patients
Northeast Medical Group, Inc. Internal Medicine CurrentSince Jul 7, 2023 Accepting new patients
Prospect CT Medical Foundation, Inc. Internal Medicine CurrentSince Oct 1, 2022 Accepting new patients
Tift Regional Health System Inc CurrentSince Aug 10, 2023 Accepting new patients
Statesboro Hma Physician Management LLC CurrentSince Jun 4, 2023 Accepting new patients
Apogee Medical Group Georgia Inc Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients
Tift Regional Health System Inc Current Accepting new patients
Adventist Health System Georgia, Inc. Past Accepting new patients
Tift Regional Health System Inc. Past Accepting new patients

Locations

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

1801 W Olympic Blvd
#2201
Pasadena, CA 91199

267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170

18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

50 Gaylord Farm Rd
Wallingford, CT 06492
Phone (203) 679-3553

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

260 Mj Taylor Rd
Adel, GA 31620
Phone (229) 247-2290

1499 Fair Rd
Statesboro, GA 30458
Phone (912) 486-1000

2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188

901 18th St E
Tifton, GA 31794
Phone (229) 353-6208

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1245729631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 E COLLEGE ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316023808",
            "telephone_number": "203-690-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 GAYLORD FARM RD",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922828",
            "telephone_number": "203-284-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "703 Main St",
            "address_purpose": "LOCATION",
            "city": "Paterson",
            "state": "NJ",
            "postal_code": "075032621",
            "country_code": "US",
            "telephone_number": "973-754-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "267 Grant St",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "CT",
            "postal_code": "066102805",
            "country_code": "US",
            "telephone_number": "203-384-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "64 Robbins St",
            "address_purpose": "LOCATION",
            "city": "Waterbury",
            "state": "CT",
            "postal_code": "067082613",
            "country_code": "US",
            "telephone_number": "203-573-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 N Patterson St",
            "address_purpose": "LOCATION",
            "city": "Valdosta",
            "state": "GA",
            "postal_code": "316021785",
            "country_code": "US",
            "telephone_number": "208-292-7283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUGUSTIN",
        "first_name": "NESLYNE",
        "middle_name": "BELINDA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-01",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "P19-00463",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "89886",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA11229500",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "72442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

Verify at the official NPI Registry.