Augustina Addison
Individual provider Active NPI Obstetrics & Gynecology Physician · Troy, OH
NPI 1962883587 · NPPES record last updated Apr 7, 2026
Key facts
- NPI
- 1962883587
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 35.140195 (OH)
- Practice address
- 3130 N County Road 25a Ste 205
Troy, OH 45373-1337 - Phone
- (937) 335-1660
- Fax
- (937) 440-4020
- NPI assigned
- Jun 10, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 14
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cape Fear Valley Health Medical Group LLC
Hoke Healthcare LLC
Practice addresses (Care Compare)
300 Medical Pavilion Dr
Suite 250
Raeford, NC 28376-0018
Phone (910) 904-8035
Hospital & facility affiliations
- Cape Fear Valley Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230629000679 | NC | Practitioner - Obstetrics/Gynecology | 5698040467 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022-02421 | NC | MD | Obstetrics & Gynecology Physician |
| MT209133 | PA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoke Healthcare LLC | Current |
Accepting new patients | |
| Cumberland County Hospital System Inc | Current |
Accepting new patients | |
| Cape Fear Valley Health Medical Group LLC | Obstetrics & Gynecology | Current |
Accepting new patients |
| Cape Fear Valley Health Medical Group LLC | Current |
Accepting new patients | |
| Hoke Healthcare, LLC | Obstetrics & Gynecology | Current |
Accepting new patients |
| Cumberland County Hospital System Inc | Obstetrics & Gynecology | Current |
Accepting new patients |
| Cumberland County Hospital System Inc | Current | Accepting new patients | |
| Cape Fear Valley Health Medical Group LLC | Past | Accepting new patients |
Locations
300 E McKay St
#F
Elizabethtown, NC 28337
Phone (910) 862-6672
6387 Ramsey St
Fayetteville, NC 28311
Phone (910) 615-3879
1341 Walter Reed Rd
Fayetteville, NC 28304
Phone (910) 609-3500
6387 Ramsey St
Unit 240
Fayetteville, NC 28311
Phone (910) 615-3960
4140 Ferncreek Dr
Ste 801
Fayetteville, NC 28314
Phone (910) 484-2171
300 Medical Pavilion Dr
#25
Raeford, NC 28376
Phone (910) 904-8035
300 Medical Pavilion Dr
Ste 250
Raeford, NC 28376
Phone (910) 904-8035
Interoperability endpoints
- aaddison108462@capefearvalley.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 2022-02421 | NC | |
| Obstetrics & Gynecology Physician | 207V00000X | MT209133 | PA | |
| Obstetrics & Gynecology Physician | 207V00000X | 35.140195 | OH | Yes |
Addresses
Primary practice location
3130 N County Road 25a Ste 205
Troy, OH 45373-1337
Mailing address
3170 Kettering Blvd BLDG B3
Moraine, OH 45439-1924
Phone (937) 991-3188
Other practice location 1
6387 Ramsey St Unit 240
Fayetteville, NC 28311-9442
Phone (910) 615-3999
Other practice location 2
300 Medical Pavilion Dr Ste 250
Raeford, NC 28376-0018
Phone (910) 904-8035
Other practice location 3
1341 Walter Reed Rd
Fayetteville, NC 28304-4415
Phone (910) 615-3500
Other practice location 4
245 N 15th St # MS 495
Philadelphia, PA 19102-1101
Phone (215) 762-8220
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0413049 | Medicaid | OH |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| RESTful URL | aaddison1753863@direct.premierhealth.com |
Other providers in Troy, OH
- Active Foot and Ankle Care LLC
- Active Foot and Ankle Care LLC
- Jeffery S Adam
- Nichole Nancy Adams
- Stephanie Marie Adams
- William Addo-Dankwa
- Beth R Adkins
- Colton Lee Adkins
- Kasarah Adkins
- Tara Adkins
All providers in Troy, OH · Obstetrics & Gynecology Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.