Individual provider Active NPI

Nicholas Kento Sammond, DO

  • Vascular Neurology Physician
  • Augusta, GA
National Provider Identifier
1801455639
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
97060 Issued in GA
Practice address
1120 15TH St
Augusta, GA 30912-0004
Phone
(706) 721-8623
NPI assigned
Jun 5, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Neurology Physician 2084V0102X 97060 GA Primary

Addresses

Primary practice location

1120 15TH St
Augusta, GA 30912-0004

Mailing address

1120 15TH St
Augusta, GA 30912-0004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, OH, MD, DE, NC, WV, DC7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20240930002992 GA Practitioner - Neurology 0749517852 Reassigns benefits to 3 organizations
I20241226002697 OH Practitioner - Neurology 0749517852 Reassigns benefits to 1 organization
I20241230000395 MD Practitioner - Neurology 0749517852 Reassigns benefits to 1 organization
I20250204000281 DE Practitioner - Neurology 0749517852 Reassigns benefits to 1 organization
I20250331000516 NC Practitioner - Neurology 0749517852 Reassigns benefits to 1 organization
I20250401003632 WV Practitioner - Neurology 0749517852 Reassigns benefits to 1 organization
I20250612003386 DC Practitioner - Neurology 0749517852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Marian University College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Access Telecare PLLCGroup PAC ID 7810204831, 409 clinicians
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

Claymont, DE 19703
Phone (972) 449-0540

100 Sadie LN
Morgantown, WV 26508-1166
Phone (972) 449-0540

1120 15TH St
Augusta, GA 30912-0004
Phone (706) 721-8623

1135 Carthage St
Sanford, NC 27330-4162
Phone (972) 449-0540

11890 Healing Way
Silver Spring, MD 20904-7917
Phone (972) 449-0540

13314 Sunny Brooke PL
Potomac, MD 20854-6392
Phone (972) 449-0540

1400 River PL
Braselton, GA 30517-5600
Phone (972) 449-0540

1710 Harper Rd
Beckley, WV 25801-3357
Phone (972) 449-0540

188 Kitdare Dr
Delaware, OH 43015-7076
Phone (972) 449-0540

2000 Neuse Blvd
New Bern, NC 28560-3449
Phone (972) 449-0540

2525 Court Dr
Gastonia, NC 28054-2140
Phone (972) 449-0540

262 Leroy George Dr
Clyde, NC 28721-7430
Phone (972) 449-0540

270 Bruton Way
Atlanta, GA 30342-2052
Phone (972) 449-0540

2951 Maple Ave
Zanesville, OH 43701-1406
Phone (972) 449-0540

4 Osprey TRL
Asheville, NC 28806-0152
Phone (972) 449-0540

801 Middleford Rd
Seaford, DE 19973-3636
Phone (972) 449-0540

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC Current Accepting new patients
Au Medical Associates Inc CurrentSince Jul 15, 2024 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Oct 3, 2024 Accepting new patients
Access Telecare, PLLC Neurology CurrentSince Nov 4, 2024 Accepting new patients
Au Medical Associates Inc CurrentSince Jul 15, 2024 Accepting new patients
Au Medical Center, Inc Past Accepting new patients

Locations

2093 Philadelphia Pike
Claymont, DE 19703
Phone (201) 308-3903

1120 15th St
#6000
Augusta, GA 30912
Phone (706) 721-3813

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1801455639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 15TH ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 15TH ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120004",
            "telephone_number": "706-721-8623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMMOND",
        "first_name": "NICHOLAS",
        "middle_name": "KENTO",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-05",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "GA",
            "license": "97060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.