Augusta Vamc

Primary specialty

Rehabilitation Hospital UnitTaxonomy code 273Y00000X

License

RN123646 Issued in GA

Legal business name

AUGUSTA VAMC

Practice address

1 Freedom Way
Augusta, GA 30904-6258

Phone

(706) 733-0188

Fax

(706) 823-3960

NPI assigned

Oct 23, 2007

Organization subpart

Yes

Parent organization

VETERANS MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Rose Gillens

Title

Nurse Manager

Phone

(706) 733-0188

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1487843744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FREEDOM WAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309046258",
            "telephone_number": "706-733-0188",
            "fax_number": "706-823-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FREEDOM WAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309046258",
            "telephone_number": "706-733-0188",
            "fax_number": "706-823-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA VAMC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VETERANS MEDICAL CENTER",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "GILLENS",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "NURSE MANAGER",
        "authorized_official_telephone_number": "706-733-0188"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "GA",
            "license": "RN123646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Augusta University Medical Center
• Augusta University Student Health
• Augusta Urology Surgicenter, LLC
• Augusta Vamc
• Augusta Vamc
• Augusta Vamc
• Augusta Vamc
• Augusta Vamc
• Augusta Villas by Harborview LLC
• Augusta Ways Holdings LLC

• Rehabilitation Hospital Unit in Augusta, GA
• Providers in Augusta, GA by specialty
• Rehabilitation Hospital Unit in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.