Active NPI
Secure Care Augusta LLC
- Registered Nurse
- Augusta, GA
National Provider Identifier
1982940151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- Legal business name
- SECURE CARE AUGUSTA LLC
- Practice address
- 1520 Monte Sano Ave
Augusta, GA 30904-7808 - Phone
- (706) 993-9271
- Fax
- (706) 863-5638
- NPI assigned
- Dec 17, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tara Legrand Lundy
- Title
- Billing Management
- Phone
- (706) 723-9926
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | Primary | ||
| Home Health Registered Nurse | 163WH0200X |
Addresses
Primary practice location
1520 Monte Sano Ave
Augusta, GA 30904-7808
Mailing address
1520 Monte Sano Ave
Augusta, GA 30904-7808
Phone (706) 993-9271
National Provider Directory
National Provider Directory- Tax ID family
- Secure Care Augusta
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Augusta, GA
- NPI 1427366590
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Evans, GA
- NPI 1033253265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591142400000",
"number": "1982940151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 MONTE SANO AVE",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309047808",
"telephone_number": "706-993-9271",
"fax_number": "706-863-5638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 MONTE SANO AVE",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309047808",
"telephone_number": "706-993-9271",
"fax_number": "706-863-5638"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SECURE CARE AUGUSTA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-17",
"last_updated": "2020-06-03",
"certification_date": "2020-06-03",
"status": "A",
"authorized_official_last_name": "LUNDY",
"authorized_official_first_name": "TARA",
"authorized_official_middle_name": "LEGRAND",
"authorized_official_title_or_position": "BILLING MANAGEMENT",
"authorized_official_telephone_number": "706-723-9926"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": true
},
{
"code": "163WH0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.