NPIMap

Organization Active NPI

Augusta Orthopedic & Sports Medicine Specialists PC

  • Orthopaedic Surgery Physician
  • Aiken, SC
National Provider Identifier
1952076382
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
AUGUSTA ORTHOPEDIC & SPORTS MEDICINE SPECIALISTS PC
Practice address
410 University Pkwy Ste 1000
Aiken, SC 29801-6800
Phone
(803) 644-4264
NPI assigned
Aug 9, 2021
Last updated
Jan 11, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
AUGUSTA ORTHOPEDIC & SPORT MEDICINE SPECIALISTS, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Authorized official

Name
Ellen College
Title
Office Administrator
Phone
(706) 863-9797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X Primary

Addresses

Primary practice location

410 University Pkwy Ste 1000
Aiken, SC 29801-6800

Mailing address

PO Box 14039
Augusta, GA 30919-0039
Phone (706) 863-9797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070328000000 SC Part B Supplier - Clinic/Group Practice 8527052463 Receives reassigned benefits from 29 practitioners
1 other NPI on this enrollment
Practice locations: Aiken, SC

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Augusta Orthopedic Sports Medicine Specialists PC

Locations

3650 J Dewey Gray Cir
Augusta, GA 30909
Phone (706) 863-9797

4369 Evans To Locks Rd
Evans, GA 30809
Phone (706) 863-8197

150 Main St
Thomson, GA 30824
Phone (706) 595-1090

Practitioners & affiliated clinicians

Practitioners 55

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 55

NPI Registry JSON

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1952076382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14039",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309190039",
            "telephone_number": "706-863-9797",
            "fax_number": "706-860-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 UNIVERSITY PKWY STE 1000",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016800",
            "telephone_number": "803-644-4264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA ORTHOPEDIC & SPORTS MEDICINE SPECIALISTS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AUGUSTA ORTHOPEDIC & SPORT MEDICINE SPECIALISTS, PC",
        "enumeration_date": "2021-08-09",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "COLLEGE",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "706-863-9797"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.