CHRIST COMMUNITY HEALTH SERVICES AUGUSTA, INC
NPI 1104630748
Clinic/Center - Dental in Augusta, GA
About Christ Community Health Services Augusta, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHRIST COMMUNITY HEALTH SERVICES AUGUSTA, INC (NPI 1104630748) is a healthcare organization registered as a dental in Augusta, Georgia and active in the NPI registry since February 2025. The organization holds a CLIA Waiver certificate valid through February 16, 2027 and lists Ursula Shanerra Rosa, Credentialing & Privileging Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Christ Community Health Services Augusta, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
28Medicare enrollment records show 28 clinicians reassign Medicare billing to Christ Community Health Services Augusta, Inc, which bills Medicare for the services they deliver. Of these, 12 practice at this address and 24 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 28Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 11D2318691
Christ Community Health Services Augusta Inc · Augusta, GAFrequently 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 Christ Community Health Services Augusta, Inc's NPI number?
The NPI number for Christ Community Health Services Augusta, Inc is 1104630748. It was assigned to this organization in the NPPES registry on February 4, 2025.
Where is Christ Community Health Services Augusta, Inc located?
Christ Community Health Services Augusta, Inc is located at 127 Telfair St Ste D, Augusta, GA 30901. The listed phone number is (706) 922-0601.
What is Christ Community Health Services Augusta, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.
Is Christ Community Health Services Augusta, Inc enrolled in Medicare?
Yes. Christ Community Health Services Augusta, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Christ Community Health Services Augusta, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 28 clinicians in 7 Medicare specialties reassign their Medicare billing to Christ Community Health Services Augusta, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (7), Dentist (6) and Nurse Practitioner (6). Of these, 12 practice at this address and 24 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Christ Community Health Services Augusta, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2318691) is associated with this NPI, valid through February 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Christ Community Health Services Augusta, Inc accept?
Health plans from DentaQuest list Christ Community Health Services Augusta, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Christ Community Health Services Augusta, Inc was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Christ Community Health Services Augusta, Inc · NPI 1104630748
Dental organization in Augusta, Georgia. Organization record, active in the CMS NPPES registry since February 4, 2025.
## Identity
- **NPI:** 1104630748 (Entity type: Organization)
- **Enumerated:** February 4, 2025
- **Primary specialty:** Clinic/Center - Dental · taxonomy 261QD0000X
- **Organization subpart:** No
- **Authorized official:** Ursula Rosa, CREDENTIALING & PRIVILEGING MANAGER
## Practice location
- **Address:** 127 TELFAIR ST STE D, Augusta, GA 30901-2590
- **Phone:** (706) 922-0601 · **Fax:** (706) 849-4195
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 28 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (7), Dentist (6), Nurse Practitioner (6); 12 practice at this address and 24 within 10 miles; [full list](https://npiprofile.com/npi/1104630748/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 28, 2025
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1104630748) · Data from the CMS NPPES public registry.