AUGUSTA HOSPITAL LLC (NPI# 1073806881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073806881 |
| Entity Type | Organization |
| Organization Name | AUGUSTA HOSPITAL LLC |
| Other Organization Name | TRINITY HOSPITAL OF AUGUSTA |
| Practice Address |
2260 Wrightsboro Rd Augusta GA 30904-4764 |
| Practice Telephone | 7064817000 |
| Mailing Telephone | 7064817000 |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2016-05-02 |
| Authorized Official Name | TARA P RICHARDSON (VP PATIENT FINANCIAL SERVICES) |
| Authorized Official Telephone | 6152213672 |
| Is Organization Subpart | Y |
| Parent Organization Name | AUGUSTA HOSPITAL LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Trinity Hospital of Augusta | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083616213 | Augusta Hospital LLC | General Acute Care Hospital | 2260 Wrightsboro Rd, Augusta, GA 30904-4764 | 2005-06-01 |
| 1770881567 | Augusta Hospital LLC | Psychiatry & Neurology | 2260 Wrightsboro Rd, Augusta, GA 30904-4764 | 2011-03-03 |
| Street Address |
2260 WRIGHTSBORO RD |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904-4764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083616213 | Augusta Hospital LLC | General Acute Care Hospital | 2260 Wrightsboro Rd, Augusta, GA 30904-4764 | 2005-06-01 |
| 1396254207 | Katelyn Woods Capers | Physician Assistant | 2260 Wrightsboro Rd, Augusta, GA 30904-4764 | 2017-09-22 |
| 1487107157 | Ams Southeast LLC | Nurse Anesthetist, Certified Registered | 2260 Wrightsboro Rd, Augusta, GA 30904 | 2016-07-29 |
| 1730532888 | Jose Emanuel Castro | Nurse Anesthetist, Certified Registered | 2260 Wrightsboro Rd, Augusta, GA 30904-4764 | 2016-07-13 |
| 1952771701 | Matthew Ian Giddens | Physician Assistant | 2260 Wrightsboro Rd, Augusta, GA 30904-4764 | 2015-10-05 |
| 1265816714 | Misty Kent | Nurse Practitioner | 2260 Wrightsboro Rd, Augusta, GA 30904-4764 | 2015-07-15 |
| 1861871980 | Wrightsboro Emergency Group LLC | Physician Assistant | 2260 Wrightsboro Rd, Augusta, GA 30904-4764 | 2015-05-21 |
| 1912386038 | Wrightsboro Physician Services LLC | Physician Assistant | 2260 Wrightsboro Rd, Augusta, GA 30904-4764 | 2015-05-21 |
| 1356730840 | William Carpenter | Registered Nurse | 2260 Wrightsboro Rd, Augusta, GA 30904-4764 | 2015-01-21 |
| 1316357718 | Addisu Bekele Workneh | Internal Medicine | 2260 Wrightsboro Rd, Augusta, GA 30904-4764 | 2014-05-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
| 1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
| 1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
| 1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
| 1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
| 1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
| 1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
| 1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
| 1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
| 1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
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| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477788941 | Mcg Childrens Medical Center | Psychiatric Unit | 1446 Harper St, Augusta, GA 30912-0012 | 2009-05-27 |
| 1992986293 | Mcg Health, Inc | Psychiatric Unit | 1120 15th St, Augusta, GA 30912-0004 | 2007-11-15 |
| 1699877068 | Ga Department of Human Resources | Psychiatric Unit | 3405 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2006-09-05 |
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| 1922230648 | Peachstate Psychiatric Services, Inc. | Psychiatric Unit | 1720 Peachtree St Nw Ste 640, Atlanta, GA 30309-2450 | 2009-08-13 |
| 1982634572 | Gwinnett Hospital System, Inc. | Psychiatric Unit | 250 Scenic Hwy, Lawrenceville, GA 30045-5675 | 2006-07-03 |
| 1730123431 | John D. Archbold Memorial Hospital, Inc. | Psychiatric Unit | 401 Old Albany Rd, Thomasville, GA 31792-4014 | 2006-06-15 |
| 1023057775 | Floyd Healthcare Management Inc | Psychiatric Unit | 306 Shorter Ave Nw, Rome, GA 30165-4268 | 2006-06-06 |
| 1760436810 | Coliseum Medical Center, LLC | Psychiatric Unit | 340 Hospital Drive, Macon, GA 31217 | 2006-05-22 |
| 1902453111 | Sedzer Health LLC | Psychiatric Unit | 931 E Winthrope Ave, Millen, GA 30442-1839 | 2019-08-22 |
| 1578026431 | South Atlanta Psychiatry LLC | Psychiatric Unit | 253 Upper Riverdale Rd Sw Ste C, Riverdale, GA 30274-4945 | 2019-04-08 |
| 1518440254 | Prime Healthcare Foundation - Southern Regional, LLC | Psychiatric Unit | 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 | 2018-09-10 |
| 1831602903 | Savannah Health Services, LLC | Psychiatric Unit | 4700 Waters Ave, Savannah, GA 31404-6220 | 2017-11-13 |
| 1225559610 | Upson County Hospital Inc | Psychiatric Unit | 801 W Gordon St, Thomaston, GA 30286-3426 | 2017-07-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.