NPIMap

Organization Active NPI

Augusta Medical Group

Doing business as Augusta Health Primary Care Lexington

  • Rural Health Clinic/Center
  • Lexington, VA
National Provider Identifier
1265015580
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
AUGUSTA MEDICAL GROUP
Doing business as
Augusta Health Primary Care Lexington
Practice address
55 Comfort Way Ste 1
Lexington, VA 24450-3788
Phone
(540) 463-3381
NPI assigned
May 4, 2021
Last updated
May 4, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
AUGUSTA HEALTH CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Authorized official

Name
Joseph Just
Title
President
Phone
(540) 245-7318

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

55 Comfort Way Ste 1
Lexington, VA 24450-3788

Mailing address

55 Comfort Way Ste 1
Lexington, VA 24450-3788

Other names 1

  • Augusta Health Primary Care Lexington Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210520000099 VA Part A Provider - Rural Health Clinic 3678632544 Practice locations: Lexington, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265015580. Details of each certification follow.

Rural health clinic certification: CCN 498935

Legal name
AUGUSTA MEDICAL GROUP
Doing business as
AUGUSTA HEALTH PRIMARY CARE LEXINGTON
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 15, 2021
Last certification
Dec 15, 2021
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Mar 18, 2008 in VA
Enrollment address
55 Comfort Way
Ste 1
Lexington, VA 24450-3788

Other NPIs with the same Medicare PAC ID 2

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

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
49D1003852Augusta Health Primary Care - Lexington55 Comfort Way - Suite 1, Lexington, VA 24450Provider-performed microscopyNov 23, 2026

National Provider Directory

National Provider Directory
Tax ID family
Ah Maury River Family Practice2 organizations share this tax ID, including this one
Part of
Waynesboro Comm Hosp PH

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1005 Heathercroft Cir
Ste 400
Crozet, VA 22932
Phone (434) 823-7896

23 North Campus Dr
Ste 102
Fishersville, VA 22939
Phone (540) 245-7145

23 North Campus Dr
Ste 103
Fishersville, VA 22939
Phone (540) 332-4486

53 S Medical Park Dr
Fishersville, VA 22939
Phone (540) 332-5687

57 N Medical Park Dr
Ste 101
Fishersville, VA 22939
Phone (540) 221-7170

57 N Medical Park Dr
Ste 109
Fishersville, VA 22939
Phone (540) 941-2500

70 Medical Center Cir
Ste 201
Fishersville, VA 22939
Phone (540) 221-7030

70 Medical Center Cir
Ste 305
Fishersville, VA 22939
Phone (540) 245-5747

70 Medical Center Cir
Ste 310
Fishersville, VA 22939
Phone (540) 245-7850

78 Medical Center Dr
Fl 2
Fishersville, VA 22939
Phone (540) 245-7080

730 McCulloch St
Glasgow, VA 24555
Phone (540) 258-1700

110 Houston St
Ste C
Lexington, VA 24450
Phone (540) 463-7751

55 Comfort Way
Ste 1
Lexington, VA 24450
Phone (540) 463-3381

851 Statler Blvd
Ste B
Staunton, VA 24401
Phone (540) 245-7470

1305 13th St
Waynesboro, VA 22980
Phone (540) 949-0131

201 Lew Dewitt Blvd
#B
Waynesboro, VA 22980
Phone (540) 245-7950

201 Lew Dewitt Blvd
Ste A
Waynesboro, VA 22980
Phone (540) 245-7940

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Augusta Health Care Inc Organization, Fishersville, VA Non-profit 5% Or Greater Direct Ownership Interest Mar 18, 2008 100%
Scott Crabtree Individual Corporate Officer Aug 16, 2010
W-2 Managing Employee Aug 16, 2010
John E Mack Individual Corporate OfficerChief Operating Officer Sep 1, 2018
W-2 Managing EmployeeChief Operating Officer Sep 1, 2018
William J Meador Individual Corporate Officer May 22, 2023
W-2 Managing Employee May 22, 2023
Crystal Farmer Individual Corporate Officer Aug 6, 2011
W-2 Managing EmployeeAd; Aug 6, 2011
Rebecca Catlett Individual W-2 Managing EmployeeMedical Office Manager Aug 1, 2009
Mary Mannix Individual Corporate OfficerCeo & President Jan 1, 2008
W-2 Managing EmployeePresident & Ceo Jan 1, 2008
Richard Evans Individual Corporate DirectorDirector Apr 1, 2012
Shelley L Snodgrass Individual Corporate DirectorMedical Director, Primary Care Sep 25, 2006
W-2 Managing EmployeeMedical Director, Primary Care Sep 25, 2006
Kari O Lightner Individual W-2 Managing EmployeePractice Administrator II Feb 15, 2021
Jason M Lawrence Individual Corporate DirectorBoard Member Mar 19, 2020
Albert Morriss Individual Corporate DirectorChairman, Amb Board of Directors Apr 1, 2013
Kerry a Alexander Individual Corporate DirectorBoard Member Oct 1, 2016
Jacqueline Sims Individual Corporate DirectorAdministrative Director of Clinical Mar 10, 1991
W-2 Managing EmployeeAdministrative Director of Clinical Mar 10, 1991

Owners & managing parties with NPI records 12

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 412

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 412

NPI Registry JSON

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1265015580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 COMFORT WAY STE 1",
            "city": "LEXINGTON",
            "state": "VA",
            "postal_code": "244503788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 COMFORT WAY STE 1",
            "city": "LEXINGTON",
            "state": "VA",
            "postal_code": "244503788",
            "telephone_number": "540-463-3381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AUGUSTA HEALTH CARE, INC.",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "JUST",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-245-7318"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Augusta Health Primary Care Lexington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, VA

Sources for this page

Verify at the official NPI Registry.