Vitality Medical Centers of North Augusta, Inc.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

VITALITY MEDICAL CENTERS OF NORTH AUGUSTA, INC.

Practice address

440 W Martintown Rd Ste 200
North Augusta, SC 29841-3106

Phone

(803) 265-2015

NPI assigned

Dec 21, 2015

Last updated

Aug 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason B FarmerNPI 1225231905

Title

Owner

Phone

(803) 244-9212

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Jason Brent Farmer, D.C.

  • Chiropractor
  • Columbia, SC
  • NPI 1225231905
  Authorized official Same address or phone

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

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1851756720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7227",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291717227",
            "telephone_number": "803-218-9886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 W MARTINTOWN RD STE 200",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298413106",
            "telephone_number": "803-265-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY MEDICAL CENTERS OF NORTH AUGUSTA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-21",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-244-9212"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP7172",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John R Velky, M.D.
• Hammond Verdery
• Veterans Transportation (Capital Care Medical Transport)
• Arlene Harris Vincent, P.T.
• Vital Care One, LLC.
• Chad Waddell, PA-C
• Shaena Victoria Waggoner, FNP
• Wal-Mart Stores East , LP (Walmart Pharmacy 10-6576)
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1270)
• Wal-Mart Stores East, LP (Vision Center 30-1270)

• Physical Medicine & Rehabilitation Physician in North Augusta, SC
• Providers in North Augusta, SC by specialty
• Physical Medicine & Rehabilitation Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.