NPIMap

Organization Active NPI

Augusta Health Care, Inc.

  • Diagnostic Radiology Physician
  • Fishersville, VA
National Provider Identifier
1720717044
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
AUGUSTA HEALTH CARE, INC.
Practice address
23 North Campus Drive
Suite 101
Fishersville, VA 22939
Phone
(540) 932-5159
Fax
(540) 932-4616
NPI assigned
Jun 10, 2022
Last updated
Dec 20, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
AUGUSTA HEALTH CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Authorized official

Name
William J Meador
Title
VP, Cfo
Phone
(540) 932-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

23 North Campus Drive
Suite 101
Fishersville, VA 22939

Mailing address

PO Box 1000
Fishersville, VA 22939-1000
Phone (540) 932-5162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221229000080 VA Part B Supplier - Clinic/Group Practice 1355248212 Receives reassigned benefits from 120 practitioners
Practice locations: Fishersville, VA

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Augusta Medical Center

Locations

23 North Campus Dr
Ste 101
Fishersville, VA 22939
Phone (540) 332-4400

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Augusta Health Care IncFishersville, VA, CCN 495214 Skilled nursing facility Adp of the SNF
Direct Ownership Interest (100%)		 Jul 16, 1990
Jul 16, 1990
Karolwood Gardens RichmondHenrico, VA, CCN 495428 Skilled nursing facility Adp of the SNF Jun 1, 2021
Augusta Health Maury River Family PracticeGlasgow, VA, CCN 498934 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Mar 18, 2008
Augusta Health Primary Care LexingtonLexington, VA, CCN 498935 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Mar 18, 2008

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 120

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.

View all 120

NPI Registry JSON

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1720717044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229391000",
            "telephone_number": "540-932-5162",
            "fax_number": "540-932-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 NORTH CAMPUS DRIVE",
            "address_2": "SUITE 101",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "22939",
            "telephone_number": "540-932-5159",
            "fax_number": "540-932-4616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA HEALTH CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AUGUSTA HEALTH CARE, INC.",
        "enumeration_date": "2022-06-10",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "MEADOR",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VP, CFO",
        "authorized_official_telephone_number": "540-932-4800"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishersville, VA

Sources for this page

Verify at the official NPI Registry.