Medstore Inc

Primary specialty

VA Clinic/CenterTaxonomy code 261QV0200X

Legal business name

MEDSTORE INC

Practice address

217 Davis Rd Ste C
Augusta, GA 30907-0954

Phone

(404) 333-2968

NPI assigned

Jan 27, 2025

Organization subpart

No

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

Authorized official

Name

Nehemiah Travis Harvard

Title

Ceo

Phone

(404) 333-2968

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1811700677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 LAKEWOOD TER SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303156669",
            "telephone_number": "818-791-6725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 DAVIS RD STE C",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309070954",
            "telephone_number": "404-333-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "HARVARD",
        "authorized_official_first_name": "NEHEMIAH",
        "authorized_official_middle_name": "TRAVIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-333-2968"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abelardo Medina, MD
• Francis Medina, RN
• Manuel Medina, M.D.
• Sonya Yvette Medina, PH.D.
• Courtney Medley
• Rebecca Meek, FNP
• William Joseph Meek II, NP-C
• Cindi Meeks
• Emily Meeks, FNP
• Marissa Meeks

• VA Clinic/Center in Augusta, GA
• Providers in Augusta, GA by specialty
• VA Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.