Au Medical Center, Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

AU MEDICAL CENTER, INC

Doing business as

Image Boutique

Practice address

1411 Laney Walker Blvd
Augusta, GA 30912-0002

Phone

(706) 721-0466

Fax

(706) 721-4329

NPI assigned

Feb 9, 2022

Last updated

Feb 9, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

AU MEDICAL CENTER, INC.As reported in NPPES

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

Authorized official

Name

Natalie Marie Reynolds

Title

Manager of Reimbursement

Phone

(706) 828-6430

Specialties & licenses 1

Addresses

Other names 1

• Image Boutique Doing business as

Part of

Au Medical Center Inc

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1851045751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 LANEY WALKER BLVD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120002",
            "telephone_number": "706-721-0466",
            "fax_number": "706-721-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 LANEY WALKER BLVD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120002",
            "telephone_number": "706-721-0466",
            "fax_number": "706-721-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AU MEDICAL CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AU MEDICAL CENTER, INC.",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MANAGER OF REIMBURSEMENT",
        "authorized_official_telephone_number": "706-828-6430"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Image Boutique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Au Nursing Associates, Inc.

• Customized Equipment (DME) in Augusta, GA
• Providers in Augusta, GA by specialty
• Customized Equipment (DME) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.