Individual provider Active NPI

Brittany Shalaigh Gustavson, APRN, FNP-C

  • Family Nurse Practitioner
  • Aiken, SC
National Provider Identifier
1346870409
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN228242 Issued in GA
Practice address
1021 Silver Bluff Rd
Aiken, SC 29803-5879
Phone
(803) 648-0587
Fax
(803) 648-9846
NPI assigned
Jan 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN228242 GA Primary

Addresses

Primary practice location

1021 Silver Bluff Rd
Aiken, SC 29803-5879

Mailing address

PO Box 1705
Augusta, GA 30903-1705

Other practice location 1

1120 15th St
Augusta, GA 30912-0004
Phone (706) 721-2273

Other practice location 2

107 Walnut Ln Ste 102
North Augusta, SC 29860-8629
Phone (803) 202-7110

Other practice location 3

325 Georgia Ave Ste 100
North Augusta, SC 29841-3848
Phone (803) 202-3351

Other names 1

  • Brittany Shalaigh Baker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200311002041 GA Practitioner - Nurse Practitioner 3476981184 Reassigns benefits to 1 organization
I20220406000022 SC Practitioner - Nurse Practitioner 3476981184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Professional Services LLCGroup PAC ID 8921176231, 171 clinicians

Practice addresses (Care Compare)

107 Walnut LN
Suite 102
North Augusta, SC 29860-8629
Phone (803) 202-7110

Hospital & facility affiliations

  • Piedmont Augusta Hospital Hospital, Augusta, GA, CCN 110028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Au Medical Associates Inc CurrentSince Feb 1, 2020 Accepting new patients
Au Medical Center, Inc Current Accepting new patients
Piedmont Professional Services, LLC CurrentSince Dec 31, 2023 Accepting new patients
Au Medical Associates Inc CurrentSince Feb 1, 2020 Accepting new patients
Piedmont Medical Care Corporation Past Accepting new patients

Locations

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

1120 15th St
Ste BI1056ATTN
Augusta, GA 30912

1021 Silver Bluff Rd
Aiken, SC 29803
Phone (803) 648-0587

325 Georgia Ave
Ste 100
North Augusta, SC 29841
Phone (803) 202-3351

107 Walnut Ln
#102
North Augusta, SC 29860
Phone (803) 202-7110

Organizations & group practices 5

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

Hospital & facility affiliations 1

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": "1579219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1346870409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1705",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309031705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 SILVER BLUFF RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298035879",
            "telephone_number": "803-648-0587",
            "fax_number": "803-648-9846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 15th St",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309120004",
            "country_code": "US",
            "telephone_number": "706-721-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 Walnut Ln Ste 102",
            "address_purpose": "LOCATION",
            "city": "North Augusta",
            "state": "SC",
            "postal_code": "298608629",
            "country_code": "US",
            "telephone_number": "803-202-7110",
            "fax_number": "803-202-7111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 Georgia Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "North Augusta",
            "state": "SC",
            "postal_code": "298413848",
            "country_code": "US",
            "telephone_number": "803-202-3351",
            "fax_number": "803-819-8532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUSTAVSON",
        "first_name": "BRITTANY",
        "middle_name": "SHALAIGH",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-17",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN228242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "BAKER",
            "middle_name": "SHALAIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aiken, SC

Sources for this page

Verify at the official NPI Registry.