FRESENIUS VASCULAR CARE AUGUSTA, LLC
NPI 1134412331
Radiology - Vascular & Interventional Radiology in Augusta, GA

Active since May 20, 2011CLIA Certified · 4 labs
630 13TH ST STE 250, AUGUSTA, GA 30901(706) 724-2500(706) 731-5289 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 14, 2025, May 16, 2025, Mar 7, 2025 and 7 more (10 updates tracked since 2016).

About Fresenius Vascular Care Augusta, Llc NPPES

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

FRESENIUS VASCULAR CARE AUGUSTA, LLC (NPI 1134412331) is a healthcare organization registered as a vascular & interventional radiology in Augusta, Georgia and active in the NPI registry since May 2011. The organization holds 4 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Gregg Arthur Miller, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1134412331
Entity TypeOrganization
Primary Taxonomy2085R0204X
Legal Business NameFRESENIUS VASCULAR CARE AUGUSTA, LLC
Location Address630 13TH ST STE 250Augusta, GA 30901-1017
Mailing AddressPo Box 418427Boston, MA 02241-8427 · (610) 644-8900 · Fax (484) 924-0053
Fax(706) 731-5289
Organization SubpartNo
Authorized OfficialGregg Arthur MillerAuthorized Official · (717) 515-4048
Enumeration DateMay 20, 2011
Last NPPES UpdateNovember 14, 202510 updates tracked since enumeration
NPPES CertifiedNovember 14, 2025
✔ NPI 1134412331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
630 13TH ST STE 250, Augusta, GA 30901

Secondary Practice Locations 2

Location 13623 J Dewey Gray Cir Ste 100Augusta, GA 30909-6511 · Phone (706) 854-9932 · Fax (706) 854-9304
Location 2630 13th St Ste 105Augusta, GA 30901-1003 · Phone (706) 724-2500

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fresenius Vascular Care Augusta, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Fresenius Vascular Care Augusta, LLC, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 12 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Interventional Radiology5
Vascular Surgery4
Nurse Practitioner3

Clinicians, nearest first (12)

Interventional Radiology
NPI 1922486513
630 13TH ST STE 250
Augusta, GA 30901
(706) 724-2500
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1629630199
630 13TH ST
Augusta, GA 30901
(706) 724-2500
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1649688193
630 13TH ST
Augusta, GA 30901
(706) 724-2500
✔ PECOS✔ Accepts MedicareSame address
Vascular Surgery
NPI 1932303815
630 13TH ST SUITE 250
Augusta, GA 30901
(706) 724-2500
✔ PECOS✔ Accepts MedicareSame address
Vascular Surgery
NPI 1689867897
630 13TH STREET SUITE 250
Augusta, GA 30901
(706) 724-2500
✔ PECOS✔ Accepts MedicareSame address
Vascular Surgery
NPI 1588829055
630 13TH ST SUITE 250
Augusta, GA 30901
(706) 724-2500
✔ PECOS✔ Accepts MedicareSame address
Interventional Radiology
NPI 1275599003
630 13TH ST SUITE 250
Augusta, GA 30901
(706) 774-5000
✔ PECOS✔ Accepts MedicareSame address
Vascular Surgery
NPI 1619210119
630 13TH ST STE 250
Augusta, GA 30901
(706) 724-2500
✔ PECOS✔ Accepts MedicareSame address
Interventional Radiology
NPI 1366408197
630 13TH ST SUITE 250
Augusta, GA 30901
(706) 774-5000
✔ PECOS✔ Accepts MedicareSame address
Interventional Radiology
NPI 1053377879
630 13TH ST SUITE 250
Augusta, GA 30901
(706) 724-2500
✔ PECOS✔ Accepts Medicare0.3 mi
Interventional Radiology
NPI 1609200633
1120 15TH ST
Augusta, GA 30912
(706) 721-8623
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1891428421
3651 WHEELER RD
Augusta, GA 30909
(706) 651-2420
✔ PECOS✔ Accepts Medicare6.9 mi

Source: 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 5

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 11D2338688

Fresenius Vascular Care Augusta, LLC Dba Augusta Vascular · Augusta, GA
Active · expires Feb 15, 2028
CLIA Number11D2338688
Laboratory TypePharmacy
Certificate Effective DateFebruary 16, 2026
Certificate Expiration DateFebruary 15, 2028
Laboratory DirectorBruce Tannehill
Laboratory Phone(706) 724-2500
Laboratory LocationFresenius Vascular Care Augusta, LLC Dba Augusta Vascular630 13th Street, Suite 105, Augusta, GA 30901
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D1056330

Fresenius Vascular Center · Augusta, GA
Active · expires Jul 12, 2028
CLIA Number11D1056330
Laboratory TypePhysician Office
Certificate Effective DateJuly 13, 2026
Certificate Expiration DateJuly 12, 2028
Laboratory DirectorWilliam Bruce Tannehill
Laboratory Phone(706) 724-2500
Laboratory LocationFresenius Vascular Center630 13th Street, Augusta, GA 30901
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2327752

Fresenius Vascular Care Augusta ASC, LLC Dba Fresenius Vascular · Augusta, GA
Active · expires Jul 28, 2027
CLIA Number11D2327752
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 29, 2025
Certificate Expiration DateJuly 28, 2027
Laboratory DirectorBruce Tannehill
Laboratory Phone(706) 724-2500
Laboratory LocationFresenius Vascular Care Augusta ASC, LLC Dba Fresenius Vascular630 13th Street, Suite 100, Augusta, GA 30901
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2324236

Fresenius Vascular Care Augusta ASC LLC · Augusta, GA
Active · expires May 20, 2027
CLIA Number11D2324236
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 21, 2025
Certificate Expiration DateMay 20, 2027
Laboratory DirectorBruce Tannehill
Laboratory Phone(706) 724-2500
Laboratory LocationFresenius Vascular Care Augusta ASC LLC630 13th Street, Suite 100, Augusta, GA 30901
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2313214

Fresnius Vascular Care Augusta, LLC · Augusta, GA
Expired · Oct 27, 2026
CLIA Number11D2313214
Laboratory TypePhysician Office
Certificate Effective DateOctober 28, 2024
Certificate Expiration DateOctober 27, 2026
Laboratory DirectorJohn Frederick
Laboratory Phone(706) 854-9932
Laboratory LocationFresnius Vascular Care Augusta, LLC3623 J Dewey Gray Circle, Suite 100, Augusta, GA 30909
CLIA data matches this NPI record on: 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 Fresenius Vascular Care Augusta, LLC's NPI number?

The NPI number for Fresenius Vascular Care Augusta, LLC is 1134412331. It was assigned to this organization in the NPPES registry on May 20, 2011.

Where is Fresenius Vascular Care Augusta, LLC located?

Fresenius Vascular Care Augusta, LLC is located at 630 13th St Ste 250, Augusta, GA 30901. The listed phone number is (706) 724-2500.

What is Fresenius Vascular Care Augusta, LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Fresenius Vascular Care Augusta, LLC enrolled in Medicare?

Yes. Fresenius Vascular Care Augusta, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fresenius Vascular Care Augusta, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 3 Medicare specialties reassign their Medicare billing to Fresenius Vascular Care Augusta, LLC. 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 Interventional Radiology (5), Vascular Surgery (4) and Nurse Practitioner (3). Of these, 9 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Fresenius Vascular Care Augusta, LLC hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Fresenius Vascular Care Augusta, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Fresenius Vascular Care Augusta, LLC 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 Fresenius Vascular Care Augusta, LLC was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.