Organization Active NPI

Augusta Surgery Inc

  • Surgery Physician
  • Fishersville, VA
National Provider Identifier
1720190119
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
AUGUSTA SURGERY INC
Practice address
16 Ivy Ridge LN Ste 130
Fishersville, VA 22939-2354
Phone
(540) 332-5909
Fax
(540) 332-5910
NPI assigned
Aug 31, 2006
Last updated
Aug 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Authorized official

Name
Linda M McKibbin
Title
Practice Manager
Phone
(540) 332-5909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

16 Ivy Ridge LN Ste 130
Fishersville, VA 22939-2354

Mailing address

16 Ivy Ridge LN Ste 130
Fishersville, VA 22939-2354
Phone (540) 332-5909

National Provider Directory

National Provider Directory

Locations

16 Ivy Ridge Ln
Ste 130
Fishersville, VA 22939
Phone (540) 332-5909

70 Medical Center Cir
Ste 308
Fishersville, VA 22939
Phone (540) 245-7190

93 Medical Ctr Dr
Ste 302
Fishersville, VA 22939
Phone (540) 932-5909

Practitioners & affiliated clinicians

Practitioners 1

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1720190119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 IVY RIDGE LN STE 130",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392354",
            "telephone_number": "540-332-5909",
            "fax_number": "540-332-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 IVY RIDGE LN STE 130",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392354",
            "telephone_number": "540-332-5909",
            "fax_number": "540-332-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "MCKIBBIN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "540-332-5909"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishersville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.