AUGUSTA MEDICAL GROUP (NPI# 1245489590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245489590 |
| Entity Type | Organization |
| Organization Name | AUGUSTA MEDICAL GROUP |
| Other Organization Name | AUGUSTA MEDICAL GROUP |
| Practice Address |
78 Medical Center Dr Fishersville VA 22939-2332 |
| Mailing Address |
Po Box 388 Fishersville VA 22939-0388 |
| Practice Telephone | 5409325162 |
| Practice Fax Number | 5409324616 |
| Mailing Telephone | 5409325162 |
| Mailing Fax Number | 5409324616 |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2013-07-25 |
| Authorized Official Name | MARY N MANNIX (FACHE) |
| 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 |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Augusta Medical Group | 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 |
| 1396994646 | Augusta Medical Group | Internal Medicine | 2522 Jefferson Hwy, Suite 110, Waynesboro, VA 22980-8503 | 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Augusta Medical Group | Po Box 1000, Fishersville, Virginia 22939 |
| Street Address |
78 MEDICAL CENTER DR |
| City | FISHERSVILLE |
| State | VA |
| Zip Code | 22939-2332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952300170 | Mary Nash Long | Nurse Practitioner | 78 Medical Center Dr, Fishersville, VA 22939 | 2005-07-19 |
| 1134755770 | Diane M Burns | Nurse Practitioner | 78 Medical Center Dr, Fishersville, VA 22939-2332 | 2020-03-16 |
| 1033742978 | Megan Anne Cather | Dietitian, Registered | 78 Medical Center Dr, Fishersville, VA 22939-2332 | 2020-02-19 |
| 1104469659 | Camille Evon Kaplan | Nurse Practitioner | 78 Medical Center Dr, Fishersville, VA 22939-2332 | 2019-10-28 |
| 1326692716 | Jordan E Larew | Nurse Practitioner | 78 Medical Center Dr, Fishersville, VA 22939-2332 | 2019-07-24 |
| 1275195513 | Margaret Byler Spory | Physician Assistant | 78 Medical Center Dr, Fishersville, VA 22939-2332 | 2019-07-08 |
| 1629634860 | Rachel Binda Tyree | Physician Assistant | 78 Medical Center Dr, Fishersville, VA 22939-2332 | 2019-05-14 |
| 1376109744 | Matthew Frederick Rhodes | Physician Assistant | 78 Medical Center Dr, Fishersville, VA 22939-2332 | 2019-05-11 |
| 1437618949 | Marion Elizabeth Simmons-selking | Nurse Practitioner | 78 Medical Center Dr, Fishersville, VA 22939 | 2019-03-14 |
| 1417421884 | Karen Ann Hayes | Physician Assistant | 78 Medical Center Dr, Fishersville, VA 22939-2332 | 2019-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568956951 | Randy Groves | Physical Therapy Assistant | 84 Crossroads Lane, Fishersville, VA 22939 | 2018-06-19 |
| 1679081749 | Melissa Michelle Yniguez | Occupational Therapy Assistant | 83 Crossroad Lane, Fishersville, VA 22939 | 2018-01-11 |
| 1699126110 | Ashley Bigger | Physical Therapy Assistant | 83 Crossroad Ln, Fishersville, VA 22939 | 2016-06-27 |
| 1497146070 | Savola Aesthetic Dermatology Center Plc | Dermatology | 66 Parkway Lane, Suite 101, Fishersville, VA 22939 | 2015-02-18 |
| 1669813416 | Keith Harlow Wolford | Family Medicine | 1615 Jefferson Highway, Suite 108, Fishersville, VA 22939 | 2013-07-09 |
| 1588903041 | Ashanti Dawn Samuel | Student in an Organized Health Care Education/Training Program | 83 Crossroads Lane, Fishersville, VA 22939 | 2013-02-04 |
| 1588902399 | Janaki Pinakin Patel | Internal Medicine | 70 Medical Center Cir Ste 201, Fishersville, VA 22939 | 2013-01-29 |
| 1659699734 | Augusta Health Care, Inc | Internal Medicine | 221 Medical Center Circle, Fishersville, VA 22939 | 2010-05-13 |
| 1386979037 | Kyle J Becker | Pharmacist | 57 Beam Lane, Suite 300, Fishersville, VA 22939 | 2009-10-14 |
| 1275782526 | Augusta Medical Group | Family Medicine | 53 S Medical Park Drive, Fishersville, VA 22939 | 2008-09-11 |
| Find all providers in zip 22939 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
| City | FISHERSVILLE |
| Zip Code | 22939 |
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.