Organization Active NPI

Augusta Dermatology Associates PC

  • Dermatology Physician
  • Augusta, GA
National Provider Identifier
1649349978
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
AUGUSTA DERMATOLOGY ASSOCIATES PC
Practice address
820 St Sebastian Way Ste 6C
Augusta, GA 30901
Phone
(706) 722-4280
Fax
(706) 722-4298
NPI assigned
Nov 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Avis Brown Yount, MDNPI 1003831868
Title
President
Phone
(706) 722-4280

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X Primary

Addresses

Primary practice location

820 St Sebastian Way Ste 6C
Augusta, GA 30901

Mailing address

820 St Sebastian Way Ste 6C
Augusta, GA 30901
Phone (706) 722-4280

National Provider Directory

National Provider Directory

Locations

820 Saint Sebastian Way
Ste 6C
Augusta, GA 30901
Phone (706) 722-4280

465 N Belair Rd
Ste 3F
Evans, GA 30809
Phone (404) 722-4280

Practitioners & affiliated clinicians

Practitioners 2

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": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649349978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 ST SEBASTIAN WAY STE 6C",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30901",
            "telephone_number": "706-722-4280",
            "fax_number": "706-722-4298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 ST SEBASTIAN WAY STE 6C",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30901",
            "telephone_number": "706-722-4280",
            "fax_number": "706-722-4298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA DERMATOLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNT",
        "authorized_official_first_name": "AVIS",
        "authorized_official_middle_name": "BROWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-722-4280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "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 Aug 22, 2020; 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.