ARA-AUGUSTA CLINIC LLC (NPI# 1194772947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194772947 |
| Entity Type | Organization |
| Organization Name | ARA-AUGUSTA CLINIC LLC |
| Other Organization Name | NCA-AUGUSTA |
| Practice Address |
1000 Telfair St Augusta GA 30901-2208 |
| Practice Telephone | 7067740130 |
| Practice Fax Number | 7067740930 |
| Mailing Telephone | 7067740130 |
| Mailing Fax Number | 7067740930 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-03-11 |
| Authorized Official Name | SHARI K COUSINS (SR. VP OF CLINICAL & REGULATORY) |
| Authorized Official Telephone | 9789223080 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00972529A | 05 |
| Other Name | Type Code |
|---|---|
| NCA-Augusta | Doing Business As Name - Organization |
| Street Address |
1000 TELFAIR ST |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30901-2208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477019925 | Courtney Erin Fairchild | Physician Assistant | 1101 15th Street, Pa-224, Augusta, GA 30901 | 2019-02-20 |
| 1699263921 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1022 Walton Way Spc C, Augusta, GA 30901 | 2018-04-23 |
| 1235684192 | Heather Raborn | Allergy & Immunology | 1350 Walton Way Ste 5100, Augusta, GA 30901 | 2016-08-22 |
| 1457690745 | Rehab Without Walls, Inc. | In Home Supportive Care | 820 St Sebastin Way Se, Augusta, GA 30901 | 2013-02-06 |
| 1861788051 | Christina Weidner Belcher | Physical Therapist | 1246 Pine St, Augusta, GA 30901 | 2011-06-25 |
| 1750695979 | C H Martin Company | Durable Medical Equipment & Medical Supplies | 1456 Walton Way Suite B, Augusta, GA 30901 | 2010-07-29 |
| 1366773905 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4027 Wheeler Rd, Augusta, GA 30901 | 2010-01-21 |
| 1851622484 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1715 Forest Drive, Augusta, GA 30901 | 2010-01-21 |
| 1760615280 | Absolute Family PCh | Point of Service | 2035 Old Savannah Rd., Augusta, GA 30901 | 2009-09-01 |
| 1073740643 | Ryan J Altenburg | Internal Medicine | 820 Saint Sebastian Way Ste 8a, Augusta, GA 30901 | 2009-06-22 |
| Find all providers in zip 30901 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225412513 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 2470 Wrightsboro Rd, Augusta, GA 30904-6202 | 2015-07-16 |
| 1235370164 | Rai Care Centers of Georgia I LLC | Clinic/Center | 1719 Magnolia Way, Augusta, GA 30909-9482 | 2009-03-24 |
| 1225140056 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 1717 Walton Way, Augusta, GA 30904-3705 | 2006-08-31 |
| 1508978313 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 3206 Peach Orchard Rd, Augusta, GA 30906-3540 | 2006-08-31 |
| 1316059140 | Bio-medical Applications of Georgia Inc | Clinic/Center | 1109 Medical Center Dr Bldg H, Augusta, GA 30909-6669 | 2006-08-31 |
| 1063438042 | Bio-medical Applications of Maine, Inc. | Clinic/Center | 164 Civic Center Dr, Augusta, ME 04330-8028 | 2006-07-14 |
| 1255373437 | Ara-south Augusta Clinic LLC | Clinic/Center | 1649 Gordon Hwy, Augusta, GA 30906-2220 | 2006-06-12 |
| 1073560611 | Nra-augusta, Georgia, LLC | Clinic/Center | 2841 Deans Bridge Rd, Augusta, GA 30906-2704 | 2006-05-28 |
| 1972572949 | Dva Healthcare Renal Care Inc | Clinic/Center | 1815 Wylds Rd, Augusta, GA 30909-4430 | 2006-03-14 |
| 1356749212 | South Augusta Dialysis Clinic LLC | Clinic/Center | 3206 Peach Orchard Rd, Augusta, GA 30906-3540 | 2014-12-09 |
| 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.