Place at Augusta LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

11211847 Issued in GA

Legal business name

PLACE AT AUGUSTA LLC

Practice address

820 Stevens Creek Rd
Augusta, GA 30907-9251

Phone

(706) 860-6622

NPI assigned

Jun 10, 2008

Organization subpart

No

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

Authorized official

Name

Susan R McGuire, CPA

Title

Reimbursement Manager

Phone

(404) 641-1919

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Place at Augusta LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Place at Augusta, LLC

  • Skilled Nursing Facility
  • Augusta, GA
  • NPI 1639103690
  NPD tax ID

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1790945202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 STEVENS CREEK RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309079251",
            "telephone_number": "706-860-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 STEVENS CREEK RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309079251",
            "telephone_number": "706-860-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLACE AT AUGUSTA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "MCGUIRE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "REIMBURSEMENT MANAGER",
        "authorized_official_telephone_number": "404-641-1919",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "GA",
            "license": "11211847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000213463A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mahboubeh Pishgou
• Kimberly Sue Pitchford-Morgan
• Tamara Pittman
• Nicole K Pitts, CRNA
• Jessica Pizzuto
• Place at Augusta, LLC
• Alexis Plair, CRNA
• Plastic and Reconstructive Surgery Center, PC
• Plastic and Reconstructive Surgery PC
• Thomas Boyne Platt, CPRP

• Nursing Facility/Intermediate Care Facility in Augusta, GA
• Providers in Augusta, GA by specialty
• Nursing Facility/Intermediate Care Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.