NPIMap

Organization Active NPI

Augustus Medical PC

  • Primary Care Clinic/Center
  • Charlotte, NC
National Provider Identifier
1396918637
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
9601218 Issued in NC
Legal business name
AUGUSTUS MEDICAL PC
Doing business as
augustus med
Practice address
1001 E WT Harris Blvd
Suite P311
Charlotte, NC 28213-4104
Phone
(704) 510-9481
Fax
(704) 510-9758
NPI assigned
Apr 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Authorized official

Name
Dr. Carl Trent Augustus, MDNPI 1043267222
Title
President
Phone
(704) 510-9481

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 9601218 NC Primary

Addresses

Primary practice location

1001 E WT Harris Blvd
Suite P311
Charlotte, NC 28213-4104

Mailing address

1001 E WT Harris Blvd
Suite P311
Charlotte, NC 28213-4104
Phone (704) 510-9481

Other names 1

  • augustus med Doing business as

National Provider Directory

National Provider Directory

Locations

1001 E Wt Harris Blvd
Ste P311
Charlotte, NC 28213
Phone (704) 510-9481

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1396918637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E WT HARRIS BLVD",
            "address_2": "SUITE P311",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134104",
            "telephone_number": "704-510-9481",
            "fax_number": "704-510-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E WT HARRIS BLVD",
            "address_2": "SUITE P311",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134104",
            "telephone_number": "704-510-9481",
            "fax_number": "704-510-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTUS MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "AUGUSTUS",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "TRENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-510-9481",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "9601218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "augustus med",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.