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Au Medical Associates Inc

Organization Active NPI Family Medicine Physician · Augusta, GA

NPI 1376240358 · NPPES record last updated Feb 10, 2023

Key facts

NPI
1376240358
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
AU MEDICAL ASSOCIATES INC
Practice address
1417 Pendleton Rd
Augusta, GA 30904-4837
Phone
(706) 738-9824
Fax
(706) 731-9918
NPI assigned
Feb 10, 2023
Organization subpart
Yes
Parent organization (as reported)
AU MEDICAL ASSOCIATES INC

Authorized official

Name
Connie Thompson
Title
Supervisor
Phone
(706) 721-5505

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 5

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

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0262909Au Health at Medicine Associates
1417 Pendleton Rd, Augusta, GA 30904		Provider-performed microscopyJan 4, 2028

National Provider Directory

Tax ID family
The Family Practice Cen (6 organizations share this tax ID)
Part of
The Family Practice Cen

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X Yes

Addresses

Primary practice location

1417 Pendleton Rd
Augusta, GA 30904-4837

Mailing address

1120 15TH Street
Or6000
Augusta, GA 30912
Phone (706) 721-5505

Other names

  • Family Medicine Associates Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 10, 2023.

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1376240358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 15TH STREET",
            "address_2": "OR6000",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30912",
            "telephone_number": "706-721-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 PENDLETON RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309044837",
            "telephone_number": "706-738-9824",
            "fax_number": "706-731-9918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AU MEDICAL ASSOCIATES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AU MEDICAL ASSOCIATES INC",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-03",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "706-721-5505"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medicine Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Augusta, GA

All providers in Augusta, GA · Family Medicine Physician in Georgia

Sources for this page

Verify at the official NPI Registry.