NPIMap

Organization Active NPI

Au Medical Associates Inc

Doing business as AU Medical Center Clinics

  • Durable Medical Equipment & Medical Supplies
  • Augusta, GA
National Provider Identifier
1740837756
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
AU MEDICAL ASSOCIATES INC
Doing business as
AU Medical Center Clinics
Practice address
1447 Harper St
Augusta, GA 30912-0020
Phone
(706) 721-8623
Fax
(706) 721-1459
NPI assigned
Aug 23, 2019
Last updated
Oct 17, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
AU MEDICAL ASSOCIATES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Authorized official

Name
Connie Thompson
Title
Supervisor
Phone
(706) 721-5505

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X NU
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

1447 Harper St
Augusta, GA 30912-0020

Mailing address

1499 Walton Way Ste 1400
Augusta, GA 30901-2603
Phone (706) 724-6100

Other names 1

  • AU Medical Center Clinics Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190910002581 GA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 9931013513 Practice locations: Augusta, GA

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory
Tax ID family
Physicians Preactice GR6 organizations share this tax ID, including this one
Part of
Physicians Preactice GR

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1120 15th St
#3300
Augusta, GA 30912
Phone (706) 721-1633

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571270400000",
    "number": "1740837756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1499 WALTON WAY STE 1400",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012603",
            "telephone_number": "706-724-6100",
            "fax_number": "706-724-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 HARPER ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120020",
            "telephone_number": "706-721-8623",
            "fax_number": "706-721-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AU MEDICAL ASSOCIATES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AU MEDICAL ASSOCIATES INC",
        "enumeration_date": "2019-08-23",
        "last_updated": "2019-10-17",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "706-721-5505"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AU Medical Center Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 17, 2019; 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.