NPIMap

Organization Active NPI

Neurological Asssociate of Augusta, PC

  • Neurology Physician
  • Augusta, GA
National Provider Identifier
1437167137
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEUROLOGICAL ASSSOCIATE OF AUGUSTA, PC
Practice address
1210 Roy Rd
Augusta, GA 30909-1812
Phone
(706) 860-6515
Fax
(706) 396-0055
NPI assigned
Aug 4, 2006
Last updated
Jul 22, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
NEUROLOGICAL ASSOCIATES OF AUGUSTA, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Authorized official

Name
Alexis Bashinski Shaefer, MDNPI 1942590872
Title
Treasurer
Phone
(706) 860-6515

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X NU
Neurology Physician 2084N0400X 035269 GA
Neurology Physician 2084N0400X 024895 GA
Neurology Physician 2084N0400X NU Primary
Interventional Pain Medicine Physician 208VP0014X NU

Addresses

Primary practice location

1210 Roy Rd
Augusta, GA 30909-1812

Mailing address

1210 Roy Road
Augusta, GA 30909
Phone (706) 860-6515

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031103000427 GA Part B Supplier - Clinic/Group Practice 1951213586 Receives reassigned benefits from 7 practitioners
Practice locations: Augusta, GA

National Provider Directory

National Provider Directory
Part of
Neurosurgical Associate

Locations

1210 Roy Rd
Augusta, GA 30909
Phone (706) 724-9607

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23795/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1437167137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 ROY ROAD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30909",
            "telephone_number": "706-860-6515",
            "fax_number": "706-396-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 ROY RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091812",
            "telephone_number": "706-860-6515",
            "fax_number": "706-396-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGICAL ASSSOCIATE OF AUGUSTA, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEUROLOGICAL ASSOCIATES OF AUGUSTA, P.C.",
        "enumeration_date": "2006-08-04",
        "last_updated": "2021-07-22",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "SHAEFER",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_middle_name": "BASHINSKI",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "706-860-6515",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "035269",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "024895",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.