NPIMap

Organization Active NPI

Mit Ambulatory Care Center

  • Infusion Therapy Clinic/Center
  • Augusta, GA
National Provider Identifier
1447218144
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
MIT AMBULATORY CARE CENTER
Practice address
208 Pitcarin Way
Augusta, GA 30909-5766
Phone
(912) 691-0333
Fax
(912) 691-1889
NPI assigned
May 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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. Connie Reeves
Title
Billing Manager
Phone
(912) 691-0333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X Primary

Addresses

Primary practice location

208 Pitcarin Way
Augusta, GA 30909-5766

Mailing address

PO Box 13663
Savannah, GA 31416-0663
Phone (912) 691-0333

National Provider Directory

National Provider Directory
Tax ID family
Infuserv Corporation4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

208 Pitcarin Way
Augusta, GA 30909
Phone (912) 691-0333

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447218144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13663",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314160663",
            "telephone_number": "912-691-0333",
            "fax_number": "912-691-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 PITCARIN WAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309095766",
            "telephone_number": "912-691-0333",
            "fax_number": "912-691-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIT AMBULATORY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "912-691-0333",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "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.