VETERANS AFFAIRS (NPI# 1245576057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245576057 |
| Entity Type | Organization |
| Organization Name | VETERANS AFFAIRS |
| Practice Address |
1 Freedom Way Augusta GA 30904-6258 |
| Mailing Address |
3304 Quaker Spring Rd Augusta GA 30907-3614 |
| Practice Telephone | 7067330188 |
| Mailing Telephone | 7067330188 |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2013-02-15 |
| Authorized Official Name | TOM E HARRIS (RECREATION THERAPIST) |
| Authorized Official Telephone | 7067330188 |
| Authorized Official Credential | CTRS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487980033 | Veterans Affairs | General Acute Care Hospital | 1426 Ida St Apt J, Durham, NC 27705-3330 | 2009-11-02 |
| 1770644072 | Veterans Affairs | Special Hospital | 2941 Mattern Ave, Pittsburgh, PA 15216 | 2006-12-12 |
| 1760587562 | Veterans Affairs | Nursing Facility/Intermediate Care Facility | 111201 Benton Street, Loma Linda, CA 92354 | 2006-09-14 |
| 1790887198 | Veterans Affairs | Counselor | 2401 W Main Street, Va Medical Center, Marion, IL 62959 | 2006-09-05 |
| 1134238108 | Veterans Affairs | Nurse's Aide | 8601 Broadway St, Apt.#3205, Houston, TX 77061-2266 | 2006-08-30 |
| 1942753231 | Veterans Affairs | Rehabilitation Unit | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2016-08-03 |
| 1417400946 | Veterans Affairs | Psychologist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2016-08-02 |
| 1912350737 | Veterans Affairs | Clinic/Center | 6010 W Amarillo Blvd, Amarillo, TX 79106-1990 | 2016-07-16 |
| 1831545680 | Veterans Affairs | General Acute Care Hospital | 619 S Marion Ave, Lake City, FL 32025-5808 | 2016-05-11 |
| 1023493897 | Veterans Affairs | General Acute Care Hospital | 3495 Bailey Ave, Buffalo, NY 14215-1129 | 2015-07-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | VETERANS AFFAIRS BOARD, MISSISSIPPI STATE | 3466 Hwy 80 E, Jackson, MS 39201-4001 |
| Oregon Corporations, Companies and Business Names | VETERANS AFFAIRS EMPLOYEES & ASSOCIATES | 100 Sw Main St Fl 2, Salem, OR 97304 |
| System for Award Management (SAM) Entities | VETERANS AFFAIRS MEDICAL CENTER | 100 Emancipation Dr, Hampton, VA 23667-0001 |
| System for Award Management (SAM) Entities | VETERANS AFFAIRS, ALABAMA DEPT OF | 100 N Union St Ste 850, Montgomery, AL 36104-3719 |
| System for Award Management (SAM) Entities | VETERANS AFFAIRS, CALIFORNIA DEPARTMENT OF | 1227 O St Ste 105, Sacramento, CA 95814-5840 |
| System for Award Management (SAM) Entities | VETERANS AFFAIRS, IOWA DEPARTMENT OF | 7105 Nw 70th Ave, Johnston, IA 50131-1824 |
| System for Award Management (SAM) Entities | VETERANS AFFAIRS, LOUISIANA DEPARTMENT OF | 602 N Fifth St, Baton Rouge, LA 70802-5312 |
| System for Award Management (SAM) Entities | VETERANS AFFAIRS, MINNESOTA DEPARTMENT OF | 20 W 12th St 2nd Flr, Saint Paul, MN 55155-2002 |
| System for Award Management (SAM) Entities | VETERANS AFFAIRS, NORTH CAROLINA DIVISION OF | 413n Salisbury St, Raleigh, NC 27603-1361 |
| System for Award Management (SAM) Entities | VETERANS AFFAIRS, WASHINGTON STATE DEPARTMENT OF | 1102 Quince Se, Olympia, WA 98501-2462 |
| Street Address |
1 FREEDOM WAY |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904-6258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912900713 | Robert Leon Longe | Pharmacist | 1 Freedom Way, Augusta, GA 30904-6258 | 2005-05-24 |
| 1609476951 | Melissa Ann Cotton | Dentist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-27 |
| 1487253217 | Kelsey Shull | Recreation Therapist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-22 |
| 1437758844 | Angela Marie Brown | Social Worker | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-19 |
| 1538767819 | Stephen William Montgomery | Music Therapist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-09 |
| 1134726631 | Rebecca Leigh Halioua | Recreation Therapist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-07 |
| 1104435718 | Vincent Michael Fitch | Psychologist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-07-29 |
| 1558988162 | Amanda Draheim | Psychologist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-06-30 |
| 1174140784 | Tiffany Ariel Graves | Student in an Organized Health Care Education/Training Program | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-06-30 |
| 1982221776 | Janice J Anglin | Dietitian, Registered | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-06-29 |
| Find all providers in the same location | ||||
| 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 |
|---|---|---|---|---|
| 1194722389 | Select Specialty Hospital - Augusta Inc | Long Term Care Hospital | 1537 Walton Way, Augusta, GA 30904-3764 | 2005-07-01 |
| 1780010686 | Charlie Norwood Va Medical Center | Long Term Care Hospital | 1 Freedom Way, Augusta, GA 30904-6258 | 2013-09-24 |
| 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 |
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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.