NPIMap

Individual provider Active NPI

Augustina Addison

  • Obstetrics & Gynecology Physician
  • Troy, OH
National Provider Identifier
1962883587
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35.140195 Issued in 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
Last updated
Apr 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2022-02421 NC
Obstetrics & Gynecology Physician 207V00000X MT209133 PA
Obstetrics & Gynecology Physician 207V00000X 35.140195 OH Primary

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

300 Medical Pavilion Dr Ste 250
Raeford, NC 28376-0018
Phone (910) 904-8035

Other practice location 2

6387 Ramsey St Unit 240
Fayetteville, NC 28311-9442
Phone (910) 615-3999

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

Electronic endpoints 1

TypeEndpointUseAffiliation
RESTful URL aaddison1753863@direct.premierhealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230629000679 NC Practitioner - Obstetrics/Gynecology 5698040467 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Gynecological Oncology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hoke Healthcare LLCGroup PAC ID 1153569405, 7 clinicians

Practice addresses (Care Compare)

300 Medical Pavilion Dr
Suite 250
Raeford, NC 28376-0018
Phone (910) 904-8035

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT209133PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hoke Healthcare, LLC Obstetrics & Gynecology CurrentSince May 16, 2023 Accepting new patients
Cape Fear Valley Health Medical Group LLC Obstetrics & Gynecology CurrentSince Jan 7, 2026 Accepting new patients
Cumberland County Hospital System Inc Obstetrics & Gynecology CurrentSince May 16, 2023 Accepting new patients
Cape Fear Valley Health Medical Group LLC CurrentSince Jan 7, 2026 Accepting new patients
Hoke Healthcare LLC CurrentSince May 16, 2023 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Cumberland County Hospital System Inc CurrentSince May 16, 2023 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

1341 Walter Reed Rd
Fayetteville, NC 28304
Phone (910) 609-3500

4140 Ferncreek Dr
Ste 801
Fayetteville, NC 28314
Phone (910) 484-2171

6387 Ramsey St
Fayetteville, NC 28311
Phone (910) 615-3879

6387 Ramsey St
Unit 240
Fayetteville, NC 28311
Phone (910) 615-3960

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

  • Direct secure messaging: aaddison108462@capefearvalley.direct-ci.com

Organizations & group practices 9

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1962883587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 KETTERING BLVD BLDG B3",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391924",
            "telephone_number": "937-991-3188",
            "fax_number": "937-223-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 N COUNTY ROAD 25A STE 205",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453731337",
            "telephone_number": "937-335-1660",
            "fax_number": "937-440-4020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Medical Pavilion Dr Ste 250",
            "address_purpose": "LOCATION",
            "city": "Raeford",
            "state": "NC",
            "postal_code": "283760018",
            "country_code": "US",
            "telephone_number": "910-904-8035",
            "fax_number": "910-615-9752",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6387 Ramsey St Unit 240",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283119442",
            "country_code": "US",
            "telephone_number": "910-615-3999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1341 Walter Reed Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283044415",
            "country_code": "US",
            "telephone_number": "910-615-3500",
            "fax_number": "910-615-3560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "245 N 15th St # MS 495",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191021101",
            "country_code": "US",
            "telephone_number": "215-762-8220",
            "fax_number": "215-762-1470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADDISON",
        "first_name": "AUGUSTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-10",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2022-02421",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MT209133",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35.140195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "aaddison1753863@direct.premierhealth.com",
            "affiliation": "N",
            "address_1": "3130 N County Road 25A Ste 205",
            "city": "Troy",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453731337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Troy, OH

Sources for this page

Verify at the official NPI Registry.