SELECT SPECIALTY HOSPITAL - AUGUSTA INC (NPI# 1194722389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194722389 |
| Entity Type | Organization |
| Organization Name | SELECT SPECIALTY HOSPITAL - AUGUSTA INC |
| Practice Address |
1537 Walton Way Augusta GA 30904-3764 |
| Mailing Address |
4714 Gettysburg Rd Legal Dept. Mechanicsburg PA 17055-4325 |
| Practice Telephone | 7068284490 |
| Practice Fax Number | 7068284491 |
| Mailing Telephone | 7179721100 |
| Mailing Fax Number | 7179759981 |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2010-09-02 |
| Authorized Official Name | MR. MICHAEL E. TARVIN (VICE PRESIDENT) |
| Authorized Official Telephone | 7179721100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | 121-612 | GA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | BCBS GA | 51863073 | 01 |
| Street Address |
1537 WALTON WAY |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904-3764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699386128 | Hospital Medicine Consulting | Internal Medicine | 1537 Walton Way, Augusta, GA 30904-3764 | 2020-08-10 |
| 1467959437 | Jeff Langford | Pharmacist | 1537 Walton Way, Augusta, GA 30904-3764 | 2018-04-06 |
| 1396244034 | Reid Wallace Griffin | Pharmacist | 1537 Walton Way, Augusta, GA 30904-3764 | 2018-02-08 |
| 1235670332 | Keira Kimbrough-waters | Pharmacist | 1537 Walton Way, Augusta, GA 30904-3764 | 2017-03-09 |
| 1598150617 | Carole M Gallagher | Social Worker | 1537 Walton Way, Augusta, GA 30904-3764 | 2015-04-06 |
| 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 |
| Find all providers in zip 30904 | ||||
| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780010686 | Charlie Norwood Va Medical Center | Long Term Care Hospital | 1 Freedom Way, Augusta, GA 30904-6258 | 2013-09-24 |
| 1245576057 | Veterans Affairs | Long Term Care Hospital | 1 Freedom Way, Augusta, GA 30904-6258 | 2012-12-26 |
| 1649276338 | American Transitional Hospitals, Inc. | Long Term Care Hospital | 1120 15th St, Augusta, GA 30912-0004 | 2005-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235598095 | Select Specialty Hospital - Midtown Atlanta, LLC | Long Term Care Hospital | 705 Juniper St Ne, Ne, Atlanta, GA 30308-1307 | 2016-02-22 |
| 1801269618 | Drayton Medical Care Inc | Long Term Care Hospital | 326 Nelson St Sw, Atlanta, GA 30313-1349 | 2015-11-03 |
| 1740452820 | Landmark Hospital of Athens, LLC | Long Term Care Hospital | 775 Sunset Drive, Athens, GA 30606 | 2008-03-28 |
| 1447252044 | Regency Hospital Company of Macon LLC | Long Term Care Hospital | 535 Coliseum Dr, Macon, GA 31217-0104 | 2005-08-12 |
| 1750383584 | Regency Hospital Company of South Atlanta, LLC | Long Term Care Hospital | 1170 Cleveland Ave, Suite 217, East Point, GA 30344-3615 | 2005-08-11 |
| 1114928926 | Decatur Health Resources, Inc. | Long Term Care Hospital | 450 N Candler St, Decatur, GA 30030-2626 | 2005-08-02 |
| 1720084734 | Affabilis LLC | Long Term Care Hospital | 616 19th St, Columbus, GA 31901-1528 | 2005-06-23 |
| 1285086579 | Lisa Ann Ruger | Long Term Care Hospital | 2020 Peachtree Rd Nw, Atlanta, GA 30309-1426 | 2016-07-11 |
| 1982090486 | Roosevelt Warm Springs Rehabilitation & Specialty Hospitals | Long Term Care Hospital | 6135 Roosevelt Highway, Warm Springs, GA 31830-0280 | 2015-04-10 |
| 1417342072 | Mercuer University School of Medicine | Long Term Care Hospital | 1550 College St, Macon, GA 31207-1500 | 2015-03-31 |
| Find all providers with the same taxonomy | ||||
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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.