WEST AUGUSTA PEDIATRICS PC
NPI 1265972558
Nurse Practitioner - Family in Augusta, GA

Active since March 06, 2017CLIA 11D0263198 · Waiver
1215 W WHEELER PKWY, AUGUSTA, GA 30909(706) 868-1906(706) 868-0150 Get Directions Write a Review

NPPES record last updated: March 6, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About West Augusta Pediatrics Pc NPPES

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

WEST AUGUSTA PEDIATRICS PC (NPI 1265972558) is a healthcare organization registered as a family in Augusta, Georgia and active in the NPI registry since March 2017. The organization holds a CLIA Waiver certificate valid through February 20, 2027 and lists Terri A Cook, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1265972558
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameWEST AUGUSTA PEDIATRICS PC
Location Address1215 W WHEELER PKWYAugusta, GA 30909-1899
Mailing Address1215 W Wheeler PkwyAugusta, GA 30909-1899 · (706) 868-1906 · Fax (706) 868-0150
Fax(706) 868-0150
Organization SubpartNo
Authorized OfficialTerri A CookPractice Manager · (706) 868-1906
Enumeration DateMarch 6, 2017
NPI 1265972558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN207064
1215 W WHEELER PKWY, Augusta, GA 30909

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 11D0263198

West Augusta Pediatrics PC · Augusta, GA
Active · expires Feb 20, 2027
CLIA Number11D0263198
Laboratory TypePhysician Office
Certificate Effective DateFebruary 21, 2025
Certificate Expiration DateFebruary 20, 2027
Laboratory DirectorGary M. Billingsley
Laboratory Phone(706) 868-1906
Laboratory LocationWest Augusta Pediatrics PC1215 West Wheeler Parkway, Augusta, GA 30909
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Family)
1215 W WHEELER PKWY
AUGUSTA, GA 30909
Pediatrics
1215 W WHEELER PKWY
AUGUSTA, GA 30909
Pediatrics
1215 W WHEELER PKWY
AUGUSTA, GA 30909
Pediatrics
1215 W WHEELER PKWY
AUGUSTA, GA 30909
Nurse Practitioner (Family)
1215 W WHEELER PKWY
AUGUSTA, GA 30909
Pediatrics
1215 W WHEELER PKWY
AUGUSTA, GA 30909

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 West Augusta Pediatrics PC's NPI number?

The NPI number for West Augusta Pediatrics PC is 1265972558. It was assigned to this organization in the NPPES registry on March 6, 2017.

Where is West Augusta Pediatrics PC located?

West Augusta Pediatrics PC is located at 1215 W Wheeler Pkwy, Augusta, GA 30909. The listed phone number is (706) 868-1906.

What is West Augusta Pediatrics PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does West Augusta Pediatrics PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0263198) is associated with this NPI, valid through February 20, 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 West Augusta Pediatrics PC was last updated on March 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.