Organization Active NPI

Augusta Family Medicine Associates P.a.

Doing business as Augusta Family Medicine

  • Preferred Provider Organization
  • Houston, TX
National Provider Identifier
1376714303
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
J8698 Issued in TX
Legal business name
AUGUSTA FAMILY MEDICINE ASSOCIATES P.A.
Doing business as
Augusta Family Medicine
Practice address
2951 Chimney Rock Rd Ste D
Houston, TX 77056-5937
Phone
(713) 977-2970
Fax
(713) 977-3479
NPI assigned
Mar 18, 2008
Last updated
Jul 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Authorized official

Name
Mr. Thomas Nguyen
Title
Administrator
Phone
(713) 977-2970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X J8698 TX Primary

Addresses

Primary practice location

2951 Chimney Rock Rd Ste D
Houston, TX 77056-5937

Mailing address

2951 Chimney Rock Rd
Houston, TX 77056-5937

Other names 1

  • Augusta Family Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050809000075 TX Part B Supplier - Clinic/Group Practice 4082643200 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

2400 Augusta Dr
Ste 105
Houston, TX 77057
Phone (713) 626-2970

2951 Chimney Rock Rd
Ste D
Houston, TX 77056
Phone (713) 977-2970

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1376714303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2951 CHIMNEY ROCK RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770565937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 CHIMNEY ROCK RD STE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770565937",
            "telephone_number": "713-977-2970",
            "fax_number": "713-977-3479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA FAMILY MEDICINE ASSOCIATES P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-977-2970",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TX",
            "license": "J8698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Augusta Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.