Organization Active NPI

West Augusta Internal Medicine Associates

  • Endocrinology, Diabetes & Metabolism Physician
  • Augusta, GA
National Provider Identifier
1437299211
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
WEST AUGUSTA INTERNAL MEDICINE ASSOCIATES
Practice address
1109 Medical Center Dr
Building 3
Augusta, GA 30909-6633
Phone
(706) 860-6824
Fax
(706) 651-1331
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Sherry Henry
Title
Office Manager
Phone
(706) 860-6824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

1109 Medical Center Dr
Building 3
Augusta, GA 30909-6633

Mailing address

1109 Medical Center Dr
Building 3
Augusta, GA 30909-6633
Phone (706) 860-6824

National Provider Directory

National Provider Directory

Locations

1109 Medical Center Dr
Ste 3
Augusta, GA 30909
Phone (706) 860-4567

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437299211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 MEDICAL CENTER DR",
            "address_2": "BUILDING 3",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096633",
            "telephone_number": "706-860-6824",
            "fax_number": "706-651-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 MEDICAL CENTER DR",
            "address_2": "BUILDING 3",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096633",
            "telephone_number": "706-860-6824",
            "fax_number": "706-651-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST AUGUSTA INTERNAL MEDICINE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "706-860-6824",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Aug 22, 2020; 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.