NPIMap

Organization Active NPI

August Pediatrics, P.a.

  • Pediatrics Physician
  • Decatur, TX
National Provider Identifier
1760684518
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
K7651 Issued in TX
Legal business name
AUGUST PEDIATRICS, P.A.
Practice address
2401 S FM 51
Suite 100
Decatur, TX 76234-3781
Phone
(940) 626-8044
Fax
(940) 626-8055
NPI assigned
Jun 4, 2007
Last updated
Jun 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Authorized official

Name
Anissa G August, MDNPI 1881630929
Title
President
Phone
(940) 626-8044

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
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X K7651 TX Primary

Addresses

Primary practice location

2401 S FM 51
Suite 100
Decatur, TX 76234-3781

Mailing address

2401 S FM 51
Suite 100
Decatur, TX 76234-3781
Phone (940) 626-8044

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1068693August Pediatrics, PA2401 S FM 51, Suite 100, Decatur, TX 76234Certificate of waiverMay 17, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1760684518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 S FM 51",
            "address_2": "SUITE 100",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343781",
            "telephone_number": "940-626-8044",
            "fax_number": "940-626-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S FM 51",
            "address_2": "SUITE 100",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343781",
            "telephone_number": "940-626-8044",
            "fax_number": "940-626-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUST PEDIATRICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "AUGUST",
        "authorized_official_first_name": "ANISSA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-626-8044",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K7651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.