Department of Veteran Affairs

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

License

0004779A Issued in GA

Legal business name

DEPARTMENT OF VETERAN AFFAIRS

Practice address

1 Freedom Way
Augusta, GA 30904-6258

Phone

(706) 733-0188

Fax

(706) 481-6703

NPI assigned

Sep 19, 2013

Last updated

Sep 19, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert Hamilton

Title

Hospitel Director

Phone

(706) 733-0188

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1639505803",
    "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": "706-481-6703"
        },
        {
            "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": "706-481-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF VETERAN AFFAIRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "HOSPITEL DIRECTOR",
        "authorized_official_telephone_number": "706-733-0188",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "GA",
            "license": "0004779A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Julia Depuy
• Christina Elaine Deremer, PHARM.D., BCPS
• Ashton Deremigio, DPT
• Paul-Robert Derenoncourt, MD
• Dermatology and Skin Cancer Center of Augusta, P.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.