Au Medical Associates Inc
Organization Active NPI Specialist · Aiken, SC
NPI 1760150221 · NPPES record last updated May 17, 2022
Key facts
- NPI
- 1760150221
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- Legal business name
- AU MEDICAL ASSOCIATES INC
- Practice address
- 118 Park Ave SW
Aiken, SC 29801-3835 - Phone
- (803) 641-0049
- NPI assigned
- Aug 31, 2021
- Organization subpart
- Yes
- Parent organization (as reported)
- AU MEDICAL ASSOCIATES INC
Authorized official
- Name
- Connie Thompson
- Title
- Supervisor
- Phone
- (706) 721-5505
Corporate family (same tax ID) 5
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2260287 | Aucc Aiken Multispecialty Chesser | Provider-performed microscopy | May 16, 2028 |
National Provider Directory
- Tax ID family
- The Family Practice Cen
- Part of
- The Family Practice Cen
Locations
450 Society Hill Dr
Aiken, SC 29803
Phone (706) 722-4245
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | Yes |
Addresses
Primary practice location
118 Park Ave SW
Aiken, SC 29801-3835
Mailing address
1120 15TH St # Or6000
Augusta, GA 30912-0004
Phone (706) 721-5505
Other practice location 1
450 Society Hill Dr
Aiken, SC 29803-1731
Phone (803) 226-0104
Other names
- AUCC Aiken Multispecialty
NPI Registry JSON
{
"created_epoch": "1630368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652745600000",
"number": "1760150221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 15TH ST # OR6000",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309120004",
"telephone_number": "706-721-5505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 PARK AVE SW",
"city": "AIKEN",
"state": "SC",
"postal_code": "298013835",
"telephone_number": "803-641-0049"
}
],
"practiceLocations": [
{
"address_1": "450 Society Hill Dr",
"address_purpose": "LOCATION",
"city": "Aiken",
"state": "SC",
"postal_code": "298031731",
"country_code": "US",
"telephone_number": "803-226-0104",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "AU MEDICAL ASSOCIATES INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AU MEDICAL ASSOCIATES INC",
"enumeration_date": "2021-08-31",
"last_updated": "2022-05-17",
"certification_date": "2022-05-17",
"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": "174400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AUCC Aiken Multispecialty",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "AUCC Aiken Multispecialty",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.