AUGUSTA MEDICAL GROUP (NPI# 1396994646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396994646 |
| Entity Type | Organization |
| Organization Name | AUGUSTA MEDICAL GROUP |
| Other Organization Name | AMC SKYLINE INTERNAL MEDICINE |
| Practice Address |
2522 Jefferson Hwy Suite 110 Waynesboro VA 22980-8503 |
| Mailing Address |
Po Box 388 Fishersville VA 22939-0388 |
| Practice Telephone | 5409417899 |
| Practice Fax Number | 5409417898 |
| Mailing Telephone | 5409417899 |
| Mailing Fax Number | 5409417898 |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2008-09-11 |
| Authorized Official Name | DAVID E DEERING (COO) |
| Authorized Official Telephone | 5409324000 |
| Is Organization Subpart | Y |
| Parent Organization Name | AUGUSTA HEALTH CARE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| AMC Skyline Internal Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275782526 | Augusta Medical Group | Family Medicine | 53 S Medical Park Drive, Fishersville, VA 22939 | 2008-09-11 |
| 1154642742 | Augusta Medical Group | Internal Medicine | 78 Medical Center Dr, Fishersville, VA 22939-2332 | 2010-06-17 |
| 1407005754 | Augusta Medical Group | Family Medicine | 1 Green Hill Dr, Verona, VA 24482-2654 | 2008-09-11 |
| 1124277470 | Augusta Medical Group | Family Medicine | 907 Goose Creek Rd, Suite A03, Fishersville, VA 22939-2352 | 2008-09-11 |
| 1588813836 | Augusta Medical Group | Family Medicine | 70 Medical Center Cir, Suite 301, Fishersville, VA 22939-2273 | 2008-09-11 |
| 1417106766 | Augusta Medical Group | Hospitalist | 78 Medical Center Dr, Fishersville, VA 22939-2332 | 2008-09-11 |
| 1932358280 | Augusta Medical Group | Internal Medicine | 70 Medical Center Cir, Suite 108, Fishersville, VA 22939-2273 | 2008-09-11 |
| 1003065350 | Augusta Medical Group | Otolaryngology | 70 Medical Center Cir, Suite 104, Fishersville, VA 22939-2273 | 2008-09-11 |
| 1811146160 | Augusta Medical Group | Psychiatry & Neurology | 70 Medical Center Cir, Suite 201, Fishersville, VA 22939-2273 | 2008-09-11 |
| 1245489590 | Augusta Medical Group | General Practice | 78 Medical Center Dr, Fishersville, VA 22939-2332 | 2008-09-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Augusta Medical Group | Po Box 1000, Fishersville, Virginia 22939 |
| Street Address |
2522 JEFFERSON HWY SUITE 110 |
| City | WAYNESBORO |
| State | VA |
| Zip Code | 22980-8503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003802422 | Mary Lee Pemberton | Optometrist | 2522 Jefferson Hwy, Suite 106, Waynesboro, VA 22980-8503 | 2005-09-21 |
| 1720154974 | Mary Lee Pemberton, Od PC | Optometrist | 2522 Jefferson Hwy, Suite 106, Waynesboro, VA 22980-8503 | 2006-11-28 |
| 1518072933 | Augusta Health Care Inc | Internal Medicine | 2522 Jefferson Hwy, Suite 110, Waynesboro, VA 22980-6500 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053870071 | Deborah M Yancey | Audiologist | 301 Pine Ave., Waynesboro, VA 22980 | 2019-03-19 |
| 1255895215 | Synergy Rehab and Wellness, Plc | Physical Therapist | 100b Community Dr, Waynesboro, VA 22980 | 2019-01-24 |
| 1760959076 | Contractors Usa Inc. | Contractor | 102 Northpoint School Rd, Waynesboro, VA 22980 | 2018-10-25 |
| 1073080412 | Rebecca Mackall | Speech-Language Pathologist | 872 Fairway Drive, Waynesboro, VA 22980 | 2018-10-24 |
| 1891239927 | Heather Lewis | Counselor | 438 Alpha St, Waynesboro, VA 22980 | 2016-12-08 |
| 1194271817 | Ride Rite LLC | Taxi | 465 Calf Mountain Road, Waynesboro, VA 22980 | 2016-09-01 |
| 1225584568 | Richard Harris Sr. | Non-emergency Medical Transport (VAN) | 208 S Bayard Ave, Waynesboro, VA 22980 | 2016-08-28 |
| 1154772671 | Michael T Cunningham, Dds, PC | Dentist | 1151 13th St. Ste 200, Waynesboro, VA 22980 | 2016-06-27 |
| 1770981326 | Americare Plus, LLC. | In Home Supportive Care | 510 H West Broad Street, Waynesboroa, VA 22980 | 2014-12-15 |
| 1043649635 | Advanced Home Care Inc | Durable Medical Equipment & Medical Supplies | 30 Ebco Cir Ste 102, Waynesboro, VA 22980 | 2013-11-05 |
| Find all providers in zip 22980 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730511858 | Amg Crockett LLC | Family Medicine | 550 Highway 64 E, Hurricane Plaza Suite 4, Waynesboro, TN 38485-3037 | 2013-07-31 |
| 1578909347 | Kristamarie F Collman | Family Medicine | 201 Lew Dewitt Blvd Ste A, Waynesboro, VA 22980 | 2013-05-20 |
| 1275762320 | Arthur Eugene Wood Iv | Family Medicine | 920 Matthew Dr Ste D, Waynesboro, MS 39367-2553 | 2009-07-10 |
| 1285882662 | Wayne General Hospital | Family Medicine | 951 Matthew Dr Ste A, Waynesboro, MS 39367-2566 | 2008-08-28 |
| 1184814519 | Bonnie P Jenkins Md PC | Family Medicine | 201 Dogwood Drive, Waynesboro, GA 30830 | 2007-08-01 |
| 1477760122 | David Barclay Walthall IIi | Family Medicine | 541 Walnut Ave, Waynesboro, VA 22980 | 2007-05-16 |
| 1184842551 | Laura Jean Brand | Family Medicine | 2014 Goose Creek Rd, Suite 106, Waynesboro, VA 22980-6588 | 2007-04-23 |
| 1851488514 | Charles Todd Stokley | Family Medicine | 940 Matthew Drive, Suite 2, Waynesboro, MS 39367 | 2006-10-06 |
| 1023110392 | Joe I Hall Md PC | Family Medicine | 107 J V Mangubat Drive, Waynesboro, TN 38485-2440 | 2006-09-05 |
| 1861432916 | Bonnie P Jenkins | Family Medicine | 201 Dogwood Dr, Waynesboro, GA 30830-5445 | 2006-06-07 |
| Find all providers in WAYNESBORO | ||||
| City | WAYNESBORO |
| Zip Code | 22980 |
Please comment or provide details below to improve the information on AUGUSTA MEDICAL GROUP.
| 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.