NPIMap

Organization Active NPI

Au Medical Associates Inc

  • Multi-Specialty Clinic/Center
  • Augusta, GA
National Provider Identifier
1841230620
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
AU MEDICAL ASSOCIATES INC
Practice address
1120 15TH St
Augusta, GA 30912-0004
Phone
(706) 721-2273
NPI assigned
Jun 8, 2006
Last updated
Oct 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Authorized official

Name
Donna Fields
Title
Director Cmo Business Operations
Phone
(706) 446-5587

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1120 15TH St
Augusta, GA 30912-0004

Mailing address

1499 Walton Way
Ste 1400
Augusta, GA 30901-2650
Phone (706) 828-6410

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040107000188 GA Part B Supplier - Clinic/Group Practice 9931013513 Receives reassigned benefits from 1,242 practitioners
O20061020000131 SC Part B Supplier - Clinic/Group Practice 9931013513 Receives reassigned benefits from 61 practitioners
Practice locations: North Augusta, SC; Edgefield, SC; Columbia, SC; Aiken, SC

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations (25 of 61)

1306 S Slappey Blvd
Albany, GA 31701

1912 Arlington Ln
Albany, GA 31701
Phone (229) 501-2048

1 10th St
Ste 510
Augusta, GA 30901

1120 15th St
#1042
Augusta, GA 30912

1120 15th St
#2036
Augusta, GA 30912
Phone (706) 721-3046

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

1120 15th St
Ste 2
Augusta, GA 30912

1120 15th St
Ste 5414
Augusta, GA 30912

120 Gordon Hwy
Augusta, GA 30912

1219 W Wheeler Pkwy
Augusta, GA 30909
Phone (706) 854-9416

1220 W Wheeler Pkwy
Ste C
Augusta, GA 30909

1220 W Wheeler Pkwy
Ste F
Augusta, GA 30909

1348 Walton Way
Augusta, GA 30901
Phone (706) 722-8242

1348 Walton Way
Ste 6300C
Augusta, GA 30901
Phone (706) 721-7173

1350 Walton Way
Ste 5500
Augusta, GA 30901

1357 Walton Way
Augusta, GA 30912

1445 Harper St
Augusta, GA 30912
Phone (706) 721-4724

1499 Walton Way
Augusta, GA 30901
Phone (706) 721-0413

1500 Johns Rd
Augusta, GA 30904

1515 Pope Ave
Augusta, GA 30904
Phone (706) 721-3145

1521 Pope Ave
Augusta, GA 30904

1701 Magnolia Way
Augusta, GA 30909

1701 Magnolia Way
Ste 204
Augusta, GA 30909
Phone (706) 738-4925

1719 Magnolia Way
Augusta, GA 30909
Phone (615) 661-1100

1719 Magnolia Way
Ste B
Augusta, GA 30909

Ownership & related parties

Subparts reporting this organization as parent 4

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1,420

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 1,420

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1841230620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1499 WALTON WAY",
            "address_2": "STE 1400",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012650",
            "telephone_number": "706-828-6410",
            "fax_number": "706-722-5187"
        },
        {
            "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": "706-721-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AU MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "DIRECTOR CMO BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "706-446-5587"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Oct 31, 2024; 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.