Individual provider Active NPI

Anissa G August, MD

  • Pediatrics Physician
  • Decatur, TX
National Provider Identifier
1881630929
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
K7651 Issued in TX
Practice address
2401 S FM 51
Suite100
Decatur, TX 76234-3781
Phone
(940) 626-8044
Fax
(940) 626-8055
NPI assigned
Jun 20, 2006
Last updated
Jun 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X K7651 TX Primary

Addresses

Primary practice location

2401 S FM 51
Suite100
Decatur, TX 76234-3781

Mailing address

PO Box 203474
Dallas, TX 75320-3474
Phone (940) 626-8044

Other identifiers 3

IdentifierTypeStateIssuer
184194202MedicaidTX
046745805MedicaidTX
8AB020OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K7651TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Decatur Little Eagle Pediatrics, P.a. Pediatrics Past Accepting new patients
August Pediatrics, P.a. Pediatrics Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20408/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1881630929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 203474",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753203474",
            "telephone_number": "940-626-8044",
            "fax_number": "940-626-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S FM 51",
            "address_2": "SUITE100",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343781",
            "telephone_number": "940-626-8044",
            "fax_number": "940-626-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUGUST",
        "first_name": "ANISSA",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K7651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184194202",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046745805",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8AB020",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.