NPIMap

Organization Active NPI

Augusta Vamc

  • VA Clinic/Center
  • Statesboro, GA
National Provider Identifier
1437547569
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
Legal business name
AUGUSTA VAMC
Practice address
658 Northside Dr E
Suite B
Statesboro, GA 30458-4828
Phone
(828) 257-2333
NPI assigned
Dec 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2018

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

Authorized official

Name
Erin Potter
Title
Npi Team Member
Phone
(202) 382-2579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
VA Clinic/Center 261QV0200X Primary

Addresses

Primary practice location

658 Northside Dr E
Suite B
Statesboro, GA 30458-4828

Mailing address

PO Box 89454
Cleveland, OH 44101-6454
Phone (828) 257-2333

Other names 1

  • STATESBORO VA CLINIC Other name

National Provider Directory

National Provider Directory
Tax ID family
Augusta Vamc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523491200000",
    "number": "1437547569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 89454",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441016454",
            "telephone_number": "828-257-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 NORTHSIDE DR E",
            "address_2": "SUITE B",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304584828",
            "telephone_number": "828-257-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-23",
        "last_updated": "2018-04-12",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "NPI TEAM MEMBER",
        "authorized_official_telephone_number": "202-382-2579"
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STATESBORO VA CLINIC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "STATESBORO VA CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; 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.