VA Medical Center

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

License

CSW003441 Issued in GA

Legal business name

VA MEDICAL CENTER

Practice address

1 Freedom Way
Augusta, GA 30904-6258

Phone

(706) 733-0188

NPI assigned

Sep 12, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Glen A. Windley, MSW

Title

Social Worker

Phone

(706) 733-0188

Specialties & licenses 1

Addresses

Listed as

Augusta VA Medical CenterCCN 11030F

Overall star rating

4 of 5

Type

Acute Care - Veterans Administration

Ownership

Veterans Health Administration

Medicare certification status

ActiveFrom the Provider of Services file

Emergency services

Yes

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233187200000",
    "number": "1306940879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 BRANDYWINE DR",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308097032",
            "telephone_number": "706-650-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FREEDOM WAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309046258",
            "telephone_number": "706-733-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2009-01-29",
        "status": "A",
        "authorized_official_last_name": "WINDLEY",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "706-733-0188",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "GA",
            "license": "CSW003441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammed Hadi Usmani, MD
• Edidiong Raphael Usoro, MD MS PHD
• Audrey Chrisitne Usry, MSN, APRN, FNP-BC
• Kim Utley
• Ugochi Uzoigwe
• Krishan M. Vaid, P.T.
• Fernando L. Vale, MD
• Halley Valentine
• Joseph Valentino
• Sean Vallabh, DO

• Psychiatric Hospital in Augusta, GA
• Providers in Augusta, GA by specialty
• Psychiatric Hospital in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.