NPIMap

Organization Active NPI

Augusta Ways Holdings LLC

Doing business as Joint Regeneration of Augusta

  • Physical Medicine & Rehabilitation Physician
  • Augusta, GA
National Provider Identifier
1780322982
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
AUGUSTA WAYS HOLDINGS LLC
Doing business as
Joint Regeneration of Augusta
Practice address
1349 Druid Park Ave
Augusta, GA 30904-5723
Phone
(706) 750-0322
NPI assigned
May 26, 2022
Last updated
May 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Authorized official

Name
Christopher Scott Miller
Title
Authorized Official
Phone
(334) 685-1496

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

1349 Druid Park Ave
Augusta, GA 30904-5723

Mailing address

3330 Cobb Pkway
Ste 17, Unit 361
Acworth, GA 30101

Other names 1

  • Joint Regeneration of Augusta Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220615000164 GA Part B Supplier - Clinic/Group Practice 6800275298 Receives reassigned benefits from 11 practitioners
Practice locations: Augusta, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653609600000",
    "number": "1780322982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 COBB PKWAY",
            "address_2": "STE 17, UNIT 361",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "30101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 DRUID PARK AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309045723",
            "telephone_number": "706-750-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA WAYS HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "334-685-1496"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joint Regeneration of Augusta",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Joint Regeneration of Augusta",
            "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 May 27, 2022; 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.