AUGUSTINA STAR MEDICAL GROUP, PLLC
NPI 1083502504
General Practice in Houston, TX

Active since June 24, 2025CLIA 45D2326922 · Waiver
11811 NORTH FWY STE 222-1029, HOUSTON, TX 77060(646) 372-1410 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Augustina Star Medical Group, Pllc NPPES

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

AUGUSTINA STAR MEDICAL GROUP, PLLC (NPI 1083502504), doing business as Savannah Md, is a healthcare organization registered as a general practice in Houston, Texas and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through July 10, 2027 and lists Emmanuel Adjei-gyamfi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1083502504
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameAUGUSTINA STAR MEDICAL GROUP, PLLC
Location Address11811 NORTH FWY STE 222-1029Houston, TX 77060-3245
Mailing Address11811 North Fwy Ste 222-1029Houston, TX 77060-3245 · (646) 372-1410
Organization SubpartNo
Authorized OfficialEmmanuel Adjei-gyamfiCeo · (646) 372-1410
Enumeration DateJune 24, 2025
NPPES CertifiedJune 24, 2025
NPI 1083502504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
11811 NORTH FWY STE 222-1029, Houston, TX 77060

Other Names 1

Doing Business AsSavannah Md

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

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 45D2326922

Augustina Star Medical Group, PLLC · Houston, TX
Active · expires Jul 10, 2027
CLIA Number45D2326922
Laboratory TypeMobile Laboratory
Certificate Effective DateJuly 11, 2025
Certificate Expiration DateJuly 10, 2027
Laboratory DirectorEmmanuel Adjei-Gyamfi
Laboratory Phone(646) 372-1410
Laboratory LocationAugustina Star Medical Group, PLLC11811 North Freeway, Suite 222 # 1029, Houston, TX 77060
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Augustina Star Medical Group, PLLC's NPI number?

The NPI number for Augustina Star Medical Group, PLLC is 1083502504. It was assigned to this organization in the NPPES registry on June 24, 2025. The provider is doing business as Savannah MD.

Where is Augustina Star Medical Group, PLLC located?

Augustina Star Medical Group, PLLC is located at 11811 North Fwy Ste 222-1029, Houston, TX 77060. The listed phone number is (646) 372-1410.

What is Augustina Star Medical Group, PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Augustina Star Medical Group, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2326922) is associated with this NPI, valid through July 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Augustina Star Medical Group, PLLC was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.