NPIMap

Organization Active NPI

Augusta Nephrology and Internal Medicine Associates, PC

  • Legal Medicine
  • Augusta, GA
National Provider Identifier
1508882432
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
Legal business name
AUGUSTA NEPHROLOGY AND INTERNAL MEDICINE ASSOCIATES, PC
Practice address
818 Saint Sebastian Way Ste 300
Augusta, GA 30901-2653
Phone
(706) 722-0186
NPI assigned
Jul 14, 2006
Last updated
Feb 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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

Authorized official

Name
Julie B Lee
Title
Insurance Manager
Phone
(706) 722-0186

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X NU Primary

Addresses

Primary practice location

818 Saint Sebastian Way Ste 300
Augusta, GA 30901-2653

Mailing address

818 Saint Sebastian Way Ste 300
Augusta, GA 30901-2653

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040519000857 GA Part B Supplier - Clinic/Group Practice 0749271740 Receives reassigned benefits from 5 practitioners
Practice locations: Augusta, GA
O20041011000328 SC Part B Supplier - Clinic/Group Practice 0749271740 Receives reassigned benefits from 5 practitioners
Practice locations: North Augusta, SC

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

1631 Gordon Hwy
Ste 1B
Augusta, GA 30906
Phone (706) 722-0522

818 Saint Sebastian Way
Ste 105
Augusta, GA 30901
Phone (706) 722-0186

818 Saint Sebastian Way
Ste 300
Augusta, GA 30901
Phone (706) 722-0186

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1508882432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 SAINT SEBASTIAN WAY STE 300",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 SAINT SEBASTIAN WAY STE 300",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012653",
            "telephone_number": "706-722-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA NEPHROLOGY AND INTERNAL MEDICINE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "706-722-0186"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NU",
            "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 Feb 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.