DEPARTMENT OF VETERAN AFFAIRS (NPI# 1639505803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639505803 |
| Entity Type | Organization |
| Organization Name | DEPARTMENT OF VETERAN AFFAIRS |
| Practice Address |
1 Freedom Way Augusta GA 30904-6258 |
| Practice Telephone | 7067330188 |
| Practice Fax Number | 7064816703 |
| Mailing Telephone | 7067330188 |
| Mailing Fax Number | 7064816703 |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2013-09-19 |
| Authorized Official Name | MR. ROBERT HAMILTON (HOSPITEL DIRECTOR) |
| Authorized Official Telephone | 7067330188 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283X00000X | Rehabilitation Hospital | 0004779A | GA | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982154241 | Department of Veteran Affairs | Military Hospital | 1122 Providence Way, Lawrenceville, GA 30046-3316 | 2016-10-11 |
| 1659798734 | Department of Veteran Affairs | Exclusive Provider Organization | 2098 Albany Post Rd, Montrose, NY 10548-1454 | 2014-03-26 |
| 1154583979 | Department of Veteran Affairs | Rehabilitation Hospital | 12635 S Halo Dr, Compton, CA 90221-1828 | 2008-07-02 |
| 1306035225 | Department of Veteran Affairs | Community/Behavioral Health | 1513 Pickens Street, The Vet Center, Columbia, SC 29201 | 2007-10-16 |
| 1619070992 | Department of Veteran Affairs | Clinic/Center | 280 Cohasett Road, Chico, CA 95927 | 2006-09-05 |
| 1891805735 | Department of Veteran Affairs | General Acute Care Hospital | 650 E Indian School Road, Phoenix, AZ 85012-1892 | 2006-08-30 |
| 1811423643 | Department of Veteran Affairs | Military Hospital | 1201 Harmon Pl, Minneapolis, MN 55403-2043 | 2017-05-11 |
| 1730614595 | Department of Veteran Affairs | Counselor | 500 Markaview Rd Nw, Huntsville, AL 35805-3652 | 2017-04-28 |
| 1295186146 | Department of Veteran Affairs | Clinic/Center | 420 N James Rd, Columbus, OH 43219-1834 | 2016-06-22 |
| 1386008407 | Department of Veteran Affairs | Military Hospital | 1536 N Jefferson St, Jacksonville, FL 32209-6525 | 2016-04-06 |
| 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 | 283X00000X |
| Grouping | Hospitals |
| Classification | Rehabilitation Hospital |
| A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. |
| Notes: Source: Joint Commission on Accreditation of Healthcare Organizations, Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Oakbrook Terrace, IL: 1994, p. 323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093878803 | William John Ellis | Rehabilitation Hospital | 3624 J Dewey Gray Cir Ste 302, Doctors Hospital Sports Medicine, Augusta, GA 30909-6580 | 2006-12-19 |
| 1699860817 | Walton Rehabiltation Hospital | Rehabilitation Hospital | 1355 Independence Dr, Augusta, GA 30901-1037 | 2006-10-04 |
| 1659616811 | Encompass Health Walton Rehabilitation Hospital, LLC | Rehabilitation Hospital | 1355 Independence Dr, Augusta, GA 30901-1037 | 2012-11-29 |
| 1831474147 | Mentor A.b.i | Rehabilitation Hospital | 1355 Independence Dr, Augusta, GA 30901-1037 | 2011-10-18 |
| 1184818502 | Walton Innovations Inc. | Rehabilitation Hospital | 1355 Independence Dr, Augusta, GA 30901-1037 | 2007-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477880854 | Beth Powell | Rehabilitation Hospital | 4631 Windcroft Cir, Hoschton, GA 30548-3484 | 2009-11-05 |
| 1902872310 | Theraneeds, Inc | Rehabilitation Hospital | 5107 Panola Mill Dr, Lithonia, GA 30038-2352 | 2006-02-24 |
| 1346242682 | Ridgeview Institute,inc | Rehabilitation Hospital | 3995 S Cobb Dr Se, Smyrna, GA 30080-6342 | 2005-06-01 |
| 1750384368 | Department of Human Services | Rehabilitation Hospital | 6135 Roosevelt Hwy, Warm Springs, GA 31830-1000 | 2005-05-27 |
| 1972909109 | Encompass Health Rehabilitation Hospital of Savannah, LLC | Rehabilitation Hospital | 6510 Seawright Dr, Savannah, GA 31406-2752 | 2014-11-17 |
| 1982019006 | Encompass Health Rehabilitation Hospital of Newnan, LLC | Rehabilitation Hospital | 2101 Newnan Crossing Blvd E, Newnan, GA 30265-2406 | 2014-06-26 |
| 1760892657 | Roosevelt Warm Springs Rehabilitation & Specialty Hospitals, Inc. | Rehabilitation Hospital | 6135 Roosevelt Hwy, Warm Springs, GA 31830-2757 | 2014-05-01 |
| 1548698723 | Es Rehabilitation LLC | Rehabilitation Hospital | 1441 Clifton Rd Ne, Atlanta, GA 30322-1004 | 2013-10-24 |
| 1518243047 | Dbhdd | Rehabilitation Hospital | 1915 Eisenhower Dr, Savannah, GA 31406-5027 | 2011-10-28 |
| 1417145251 | John Leonard Abney | Rehabilitation Hospital | 6391 Roosevelt Highway, Warm Springs, GA 31830-0268 | 2007-10-05 |
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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.