Individual provider Active NPI

Linus Augustus, PA-C

  • Medical Physician Assistant
  • Viera, FL
National Provider Identifier
1457303406
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9102857 Issued in FL
Practice address
2900 Veterans Way
Viera, FL 32940-8007
Phone
(321) 637-3921
Fax
(321) 637-3507
NPI assigned
May 17, 2006
Last updated
Dec 29, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9102857 FL Primary

Addresses

Primary practice location

2900 Veterans Way
Viera, FL 32940-8007

Mailing address

4269 Woodhall Cir
Rockledge, FL 32955-6630
Phone (321) 637-3788

Other identifiers 1

IdentifierTypeStateIssuer
PA9102857OtherFLPHYSICIAN ASSISTANT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
16688CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Osprey Emergency Physicians LLC Past Accepting new patients
Florida Em-I Medical Services PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: linus.augustus.1@17680.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482969600000",
    "number": "1457303406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4269 WOODHALL CIR",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329556630",
            "telephone_number": "321-637-3788",
            "fax_number": "321-637-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 VETERANS WAY",
            "city": "VIERA",
            "state": "FL",
            "postal_code": "329408007",
            "telephone_number": "321-637-3921",
            "fax_number": "321-637-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUGUSTUS",
        "first_name": "LINUS",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2016-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9102857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT",
            "identifier": "PA9102857",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Viera, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.