AUGUSTA HOSPITAL LLC (NPI# 1770881567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770881567 |
| Entity Type | Organization |
| Organization Name | AUGUSTA HOSPITAL LLC |
| Practice Address |
2260 Wrightsboro Rd Augusta GA 30904-4764 |
| Mailing Address |
4000 Meridian Blvd Franklin TN 37067-6325 |
| Practice Telephone | 7064817450 |
| Practice Fax Number | 7064817532 |
| Mailing Telephone | 6156286038 |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2014-02-21 |
| Authorized Official Name | SOPHIA L ARWOOD (DIRECTOR) |
| Authorized Official Telephone | 6156286038 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083616213 | Augusta Hospital LLC | General Acute Care Hospital | 2260 Wrightsboro Rd, Augusta, GA 30904-4764 | 2005-06-01 |
| 1073806881 | Augusta Hospital LLC | Psychiatric Unit | 2260 Wrightsboro Rd, Augusta, GA 30904-4764 | 2011-05-26 |
| 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 |
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215399456 | Raymond Mai | Internal Medicine | 1120 15th St # 6518, Augusta, GA 30912-1436 | 2016-03-27 |
| 1861714321 | James Walter Ryan | Internal Medicine | 3047 Lake Forest Dr, Augusta, GA 30909-3027 | 2010-02-24 |
| 1427157114 | Joseph Frank Pensabene | Internal Medicine | 1348 Walton Way Ste 5100, Augusta, GA 30901-5108 | 2006-09-21 |
| 1508962333 | William Joseph Wylie | Internal Medicine | 837 Chafee Ave, Augusta, GA 30904 | 2006-09-16 |
| 1730108846 | Keith Sue-ling | Internal Medicine | 1349 Druid Park Ave, Augusta, GA 30904 | 2006-07-19 |
| 1033157011 | Augusta Heart Associates | Internal Medicine | 818 St Sebastian Way, Ste 308, Augusta, GA 30901-1076 | 2006-06-03 |
| 1952375537 | Sameh Z. Lamiy | Internal Medicine | 818 Saint Sebastian Way Ste 311, Augusta, GA 30901-2653 | 2006-02-13 |
| 1639159064 | David T. Frost | Internal Medicine | 35 Medical Center Parkway, Suite 101, Augusta, ME 04330 | 2006-01-20 |
| 1134109051 | Rakesh I Baman | Internal Medicine | 2258 Wrightsboro Rd Ste 400, Augusta, GA 30904-4788 | 2006-01-18 |
| 1730168261 | Faiz U Rehman | Internal Medicine | 818 Saint Sebastian Way Ste 307, Augusta, GA 30901 | 2006-01-12 |
| Find all providers in AUGUSTA | ||||
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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.