Active NPI
Wrightsboro Medical Center
- Primary Care Clinic/Center
- Augusta, GA
National Provider Identifier
1306029434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- WRIGHTSBORO MEDICAL CENTER
- Practice address
- 3207 Wrightsboro Rd
Augusta, GA 30909-2941 - Phone
- (706) 737-0183
- Fax
- (706) 737-7915
- NPI assigned
- Dec 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Robinson
- Title
- Office Manager
- Phone
- (706) 667-0866
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
3207 Wrightsboro Rd
Augusta, GA 30909-2941
Mailing address
3207 Wrightsboro Rd
Augusta, GA 30909-2941
Phone (706) 737-0183
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D0695994 | Wrightsboro Medical Center | Provider-performed microscopy | Aug 21, 2026 |
National Provider Directory
National Provider DirectoryLocations
3207 Wrightsboro Rd
Augusta, GA 30909
Phone (706) 737-0183
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Augusta, GA
- NPI 1790700938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197417600000",
"number": "1306029434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3207 WRIGHTSBORO RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309092941",
"telephone_number": "706-737-0183",
"fax_number": "706-737-7915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3207 WRIGHTSBORO RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309092941",
"telephone_number": "706-737-0183",
"fax_number": "706-737-7915"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WRIGHTSBORO MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-12",
"last_updated": "2007-12-12",
"status": "A",
"authorized_official_last_name": "ROBINSON",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "706-667-0866"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"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 Dec 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.