NPIMap

Organization Active NPI

Neighborhood Improvement Project Inc

  • Federally Qualified Health Center (FQHC)
  • Augusta, GA
National Provider Identifier
1477168458
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
NEIGHBORHOOD IMPROVEMENT PROJECT INC
Practice address
1113 Garredd Blvd
Augusta, GA 30909-6752
Phone
(706) 790-4440
Fax
(706) 790-4393
NPI assigned
Sep 15, 2020
Last updated
Oct 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Authorized official

Name
Wesley Wood
Title
Cfo
Phone
(706) 790-4440

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary
Multi-Specialty Clinic/Center 261QM1300X NU

Addresses

Primary practice location

1113 Garredd Blvd
Augusta, GA 30909-6752

Mailing address

2467 Golden Camp Rd
Augusta, GA 30906-5515
Phone (706) 790-4440

Medicare participation

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1477168458. Details of each certification follow.

  • CCN 111132 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 111132

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
NEIGHBORHOOD IMPROVEMENT PROJECT INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 5, 2020
Last certification
Oct 5, 2020
Ownership / control type
For profit – partnership
Facility address
1113 Garredd Blvd.
Augusta, GA 30909

National Provider Directory

National Provider Directory

Locations

1113 Garredd Blvd
Augusta, GA 30909
Phone (706) 364-8220

NPI Registry JSON

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601856000000",
    "number": "1477168458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2467 GOLDEN CAMP RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309065515",
            "telephone_number": "706-790-4440",
            "fax_number": "706-790-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 GARREDD BLVD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096752",
            "telephone_number": "706-790-4440",
            "fax_number": "706-790-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD IMPROVEMENT PROJECT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "706-790-4440"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.