NEPHROLOGY CENTER OF SOUTH AUGUSTA (NPI# 1992910350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992910350 |
| Entity Type | Organization |
| Organization Name | NEPHROLOGY CENTER OF SOUTH AUGUSTA |
| Practice Address |
1631 Gordon Hwy Ste 1-b Augusta GA 30906-2221 |
| Practice Telephone | 7067908300 |
| Practice Fax Number | 7067909944 |
| Mailing Telephone | 7067908300 |
| Mailing Fax Number | 7067909944 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2008-08-14 |
| Authorized Official Name | EVETTE MYERS (FACILITY ADMINISTRATOR) |
| Authorized Official Telephone | 7067908300 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 12414140 | GA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00409802A | 05 | |
| GA | WELLCARE | 348887 | 01 |
| Street Address |
1631 GORDON HWY STE 1-B |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30906-2221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255969432 | Barton Chapel Dental Group, LLC | Dentist | 2755 Barton Chapel Road, Augusta, GA 30906 | 2020-04-01 |
| 1255897419 | Pediatric Mobility Innovations | Durable Medical Equipment & Medical Supplies | 3114 Augusta Tech Drive Suite 404, Augusta, GA 30906 | 2019-02-13 |
| 1023539731 | Kristy Lee Gibbs | Registered Nurse | 3421 Mike Padgett Hwy Bldg C, Augusta, GA 30906 | 2017-07-03 |
| 1194186031 | Clifton Nane Williams | Counselor | 3230 Hampton Circle, Augusta, GA 30906 | 2016-03-18 |
| 1376929661 | Catherine A. Ganzy | Social Worker | 3405 Mike Padgett Highway; Building 201, East Central Regional Hosptial, Augusta, GA 30906 | 2015-08-10 |
| 1962810358 | Fatemeh Azadeh Paziraei | Dentist | 1631 Gordon Highway, Augusta Smiles Youth Dentistry, Augusta, GA 30906 | 2014-07-29 |
| 1568809770 | Brandon Jennings | Occupational Therapy Assistant | 2388 Old Mcduffie Rd, Augusta, GA 30906 | 2013-05-29 |
| 1811266646 | Eddie P Johnson IIi, Dmd, PC | Preferred Provider Organization | 2755 Barton Chapel Rd, Augusta, GA 30906 | 2011-12-23 |
| 1366739021 | Kerensa A Cooks | Registered Nurse | 3421 Mike Padgett Highway, Serenity Behavioral Health Systems, Augusta, GA 30906 | 2011-07-01 |
| 1265737423 | Pidcock Chiropractic, Inc. | Chiropractor | 3028 Peach Orchard Rd., Augusta, GA 30906 | 2011-01-20 |
| Find all providers in zip 30906 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831580364 | Harrington Park Health & Rehabilitation, LLC | Skilled Nursing Facility | 511 Pleasant Home Rd, Augusta, GA 30907-3525 | 2015-02-05 |
| 1295908846 | Pruitthealth - Augusta, LLC | Skilled Nursing Facility | 2541 Milledgeville Road, Augusta, GA 30904-4954 | 2008-04-03 |
| 1720282569 | The Place At Augusta, Inc. | Skilled Nursing Facility | 2 George C Wilson Ct, Augusta, GA 30909-6593 | 2007-06-14 |
| 1225056658 | Lakepoint Augusta LLC | Skilled Nursing Facility | 901 Lakepoint Dr, Augusta, KS 67010-2423 | 2006-07-17 |
| 1609809706 | Salem Nursing & Rehab Center of Augusta, Inc. | Skilled Nursing Facility | 2021 Scott Rd, Augusta, GA 30906-2539 | 2006-07-09 |
| 1376572073 | The Place At Deans Bridge, LLC | Skilled Nursing Facility | 3235 Deans Bridge Rd, Augusta, GA 30906-7004 | 2006-07-03 |
| 1235186974 | Pruitthealth - Augusta Hills LLC | Skilled Nursing Facility | 2122 Cumming Rd, Augusta, GA 30904-4334 | 2006-05-28 |
| 1598717753 | Ggnsc Augusta II LLC | Skilled Nursing Facility | 1600 Anthony Rd, Augusta, GA 30904-4824 | 2006-05-16 |
| 1245282409 | Ggnsc Augusta Windermere LLC | Skilled Nursing Facility | 3618 J Dewey Gray Cir, Augusta, GA 30909-1867 | 2006-05-16 |
| 1508822305 | University Extended Care, Inc | Skilled Nursing Facility | 1227 W Wheeler Pkwy, Augusta, GA 30909-1899 | 2006-04-21 |
| Find all providers in AUGUSTA | ||||
Please comment or provide details below to improve the information on NEPHROLOGY CENTER OF SOUTH AUGUSTA.
| 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.