NPIMap

Organization Active NPI

Neighborhood Improvement Project Inc

  • Federally Qualified Health Center (FQHC)
  • Augusta, GA
National Provider Identifier
1992164552
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
NEIGHBORHOOD IMPROVEMENT PROJECT INC
Practice address
2050 Walton Way
Ste 101
Augusta, GA 30904-2305
Phone
(706) 790-4440
NPI assigned
Feb 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

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

Authorized official

Name
Wesley Wood, CFO
Title
Cfo
Phone
(706) 790-4440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

2050 Walton Way
Ste 101
Augusta, GA 30904-2305

Mailing address

2467 Golden Camp Rd
Augusta, GA 30906-5515

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160614000278 GA Part A Provider - Federally Qualified Health Center (FQHC) 7315851078 Practice locations: Augusta, GA

Federally qualified health center certification: CCN 111038

Legal name
NEIGHBORHOOD IMPROVEMENT PROJECT, INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 14, 2016
Last certification
Jun 14, 2016
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 7, 1997 in GA
Enrollment address
2050 Walton Way
Augusta, GA 30904-2305

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Melvin Lowry Individual Other Dec 5, 2007
Janice Bailey Individual Other Jan 1, 2016
Angela Goodwin Individual Other Dec 5, 2007
Willie Saunders Individual Other Jan 1, 2016
Kim Gaines Individual Other Jan 1, 2016
Neighborhood Improvement Project, Inc Organization, Augusta, GA Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2016 100%
James Williams Individual Other Jan 1, 2016
Wesley Wood Individual Corporate OfficerCfo Mar 31, 2016
W-2 Managing EmployeeCfo Jan 1, 2015
Operational/Managerial ControlCfo Jan 1, 2015
Francine Holmes Individual Other Jan 1, 2016
Nancy Ross Individual Other Jan 1, 2016
Willie Jones Individual Other Jan 1, 2016
Barbara Washington Individual Other Jan 1, 2016

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Medical Associates Plus at WrensWrens, GA, CCN 111976 Federally qualified health center Operational/Managerial Control Dec 1, 2013
Medical Associates PlusKeysville, GA, CCN 111042 Federally qualified health center Operational/Managerial Control Jan 1, 2016
Neighborhood Improvement Project, IncWaynesboro, GA, CCN 851162 Federally qualified health center Operational/Managerial Control Jan 7, 2022
Medical Associates PlusAugusta, GA, CCN 851169 Federally qualified health center Operational/Managerial Control (100%) Apr 1, 2022
Medical Associates PlusWaynesboro, GA, CCN 851175 Federally qualified health center Operational/Managerial Control Jul 1, 2022
Medical Associates PlusAugusta, GA, CCN 851176 Federally qualified health center Operational/Managerial Control Oct 1, 2022
Medical Associates PlusThomson, GA, CCN 111189 Federally qualified health center Operational/Managerial Control Jan 1, 2023
Medical Associates PlusAiken, SC, CCN 421121 Federally qualified health center Other Dec 1, 2024

National Provider Directory

National Provider Directory
Tax ID family
Neighborhood Improvement Project34 organizations share this tax ID, including this one

Other organizations with this tax ID 33

Organizations that report the same tax identification number in the National Provider Directory.

View all 33

Locations

2050 Walton Way
Ste 102
Augusta, GA 30904

Owners & managing parties with NPI records 24

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 24

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 24

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

View all 24

Facilities with the same owner 7

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 68

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 68

NPI Registry JSON

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455148800000",
    "number": "1992164552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2467 GOLDEN CAMP RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309065515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 WALTON WAY",
            "address_2": "STE 101",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309042305",
            "telephone_number": "706-790-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD IMPROVEMENT PROJECT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-11",
        "last_updated": "2016-02-11",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "706-790-4440",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.