MAINEGENERAL MULTI-SPECIALTY
NPI 1063716710
Family Medicine in Augusta, ME

Q: What is Mainegeneral Medical Center's NPI number?

The NPI number for Mainegeneral Medical Center is 1063716710. It was assigned to this organization in the NPPES registry on January 10, 2011. The provider is doing business as Mainegeneral Multi-Specialty.

Q: What is Mainegeneral Medical Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since January 10, 2011CLIA Certified · 4 labs

35 MEDICAL CENTER PKWY, AUGUSTA, ME 04330(207) 626-1000 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 18, 2023, Oct 7, 2022, Jul 10, 2021 and 3 more (6 updates tracked since 2020).

On this page

About Mainegeneral Multi-specialty NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAINEGENERAL MULTI-SPECIALTY (NPI 1063716710) is a healthcare organization registered as a family medicine in Augusta, Maine and active in the NPI registry since January 2011. The organization holds 4 active CLIA laboratory certificates and lists Terrence Brann, Cfo, as its authorized official.

NPPES Registry Identity

NPI1063716710

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMAINEGENERAL MEDICAL CENTER

Location Address35 MEDICAL CENTER PKWYAugusta, ME 04330-8160

Mailing Address35 Medical Center PkwyAugusta, ME 04330-8160 · (207) 626-1000

Phone(207) 626-1000

Organization SubpartNo

Authorized OfficialTerrence BrannCfo · (207) 626-1230

Enumeration DateJanuary 10, 2011

Last NPPES UpdateAugust 18, 20236 updates tracked since enumeration

NPPES CertifiedOctober 7, 2022

✔ NPI 1063716710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X

Also ListedOphthalmologyTaxonomy 207W00000X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

35 MEDICAL CENTER PKWY, Augusta, ME 04330

Open in Google Maps ↗

Other Names 1

Doing Business AsMainegeneral Multi-specialty

Other Identifiers 1

Medicaid1063716710ME

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 20D2144454

Mainegeneral Medical Center Wound Healing & Hyperbaric Medicine · Augusta, ME

Active · expires Feb 15, 2028

CLIA Number20D2144454

Laboratory TypePhysician Office

Certificate Effective DateFebruary 16, 2026

Certificate Expiration DateFebruary 15, 2028

Laboratory DirectorIan Reight MD

Laboratory Phone(207) 623-6510

Laboratory LocationMainegeneral Medical Center Wound Healing & Hyperbaric Medicine35 Medical Center Parkway, 2nd Floor, Augusta, ME 04333

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 20D0089215

Mainegeneral Medical Center · Augusta, ME

Active · expires Feb 27, 2027

CLIA Number20D0089215

Laboratory TypeHospital

Certificate Effective DateFebruary 28, 2025

Certificate Expiration DateFebruary 27, 2027

Laboratory DirectorDr. Cheri L. Aubertine

Laboratory Phone(207) 626-1149

Laboratory LocationMainegeneral Medical Center35 Medical Center Parkway Attn Lauren Long, Augusta, ME 04330

CLIA data matches this NPI record on: Address Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 20D2089170

Mainegeneral Kidney Care · Augusta, ME

Active · expires Dec 21, 2026

CLIA Number20D2089170

Laboratory TypePhysician Office

Certificate Effective DateDecember 22, 2024

Certificate Expiration DateDecember 21, 2026

Laboratory DirectorDavid L. Redding

Laboratory Phone(207) 872-1293

Laboratory LocationMainegeneral Kidney Care35 Medical Center Parkway, Augusta, ME 04330

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 20D2158895

Mainegeneral Medical Center Mainegeneral Urology · Augusta, ME

Active · expires Dec 9, 2026

CLIA Number20D2158895

Laboratory TypePhysician Office

Certificate Effective DateDecember 10, 2024

Certificate Expiration DateDecember 9, 2026

Laboratory DirectorDerrick S. Tooth MD

Laboratory Phone(207) 622-6319

Laboratory LocationMainegeneral Medical Center Mainegeneral Urology442 Civic Center Drive, Ste 150, Augusta, ME 04330

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VALERIE PRANCKUNAS

Occupational Therapist