1. Home
  2. Directory
  3. Georgia
  4. Evans
  5. Specialist
  6. NPI Profile

AUGUSTA UROLOGY ASSOCIATES, LLC
NPI 1366511834
Specialist in Evans, GA

Active since November 07, 2006CLIA Certified · 2 labs
4350 TOWNE CENTRE DR STE 2200, EVANS, GA 30809(706) 722-0705(706) 993-1284 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 4, 2025, Jun 21, 2021, Jun 15, 2021 and 1 more (4 updates tracked since 2020).

About Augusta Urology Associates, Llc NPPES

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

AUGUSTA UROLOGY ASSOCIATES, LLC (NPI 1366511834) is a healthcare organization registered as a specialist in Evans, Georgia and active in the NPI registry since November 2006. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Augusta, and lists Anissa Cooper, Administrator, as its authorized official.

NPPES Registry Identity

NPI1366511834
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameAUGUSTA UROLOGY ASSOCIATES, LLC
Location Address4350 TOWNE CENTRE DR STE 2200Evans, GA 30809-3346
Mailing Address4350 Towne Centre Dr Ste 2200Evans, GA 30809-3346 · (706) 722-0705 · Fax (706) 312-3026
Phone(706) 722-0705
Fax(706) 993-1284
Organization SubpartNo
Authorized OfficialAnissa CooperAdministrator · (706) 722-0705
Enumeration DateNovember 7, 2006
Last NPPES UpdateApril 4, 20254 updates tracked since enumeration
NPPES CertifiedApril 4, 2025
✔ NPI 1366511834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4350 TOWNE CENTRE DR STE 2200, Evans, GA 30809
Open in Google Maps ↗

Secondary Practice Location 1

Location 1818 Saint Sebastian Way, Professional Bldg. 2, Suite 403Augusta, GA 30901-2651 · Phone (706) 722-0705 · Fax (706) 312-3026

Other Identifiers 1

Medicaid300033214GGA

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.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)

Augusta Urology Associates, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Augusta Urology Associates, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Henry Goodwin, MD
Urology
NPI 1265467286
4350 TOWNE CENTRE DR STE 2200
Evans, GA 30809
(706) 722-0705
✔ PECOS✔ Accepts MedicareSame address
James Kay, M.D.
Urology
NPI 1679795017
4350 TOWNE CENTRE DR STE 2200
Evans, GA 30809
(706) 722-0705
✔ PECOS✔ Accepts Medicare0.1 mi
Emily Rogers, FNP-C
Nurse Practitioner
NPI 1629834320
4350 TOWNE CENTRE DR STE 2200
Evans, GA 30809
(706) 722-0705
✔ PECOS✔ Accepts Medicare0.1 mi
William Simpson
Urology
NPI 1508247958
1120 15TH ST
Augusta, GA 30912
(706) 721-2519
✔ PECOS✔ Accepts Medicare9.1 mi
Michael Green, MD
Urology
NPI 1518991496
818 ST SEBASTIAN WAY STE 403
Augusta, GA 30901
(706) 722-0705
✔ PECOS9.4 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 2

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 Compliance 11D0938125

Augusta Urology Associates LLC · Evans, GA
Active · expires Nov 30, 2026
CLIA Number11D0938125
Laboratory TypePhysician Office
Certificate Effective DateSeptember 16, 2024
Certificate Expiration DateNovember 30, 2026
Laboratory DirectorHenry North Goodwin
Laboratory Phone(706) 722-0705
Laboratory LocationAugusta Urology Associates LLC4350 Towne Centre Drive, Ste 2200, Evans, GA 30809
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 11D2345867

Augusta Urology Associates · Augusta, GA
Active · expires Jun 17, 2028
CLIA Number11D2345867
Laboratory TypePhysician Office
Certificate Effective DateJune 18, 2026
Certificate Expiration DateJune 17, 2028
Laboratory DirectorHenry N. Goodwin
Laboratory Phone(706) 722-0705
Laboratory LocationAugusta Urology Associates811 13th Street Suite 10, Augusta, GA 30901
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 Augusta Urology Associates, LLC's NPI number?

The NPI number for Augusta Urology Associates, LLC is 1366511834. It was assigned to this organization in the NPPES registry on November 7, 2006.

Where is Augusta Urology Associates, LLC located?

Augusta Urology Associates, LLC is located at 4350 Towne Centre Dr Ste 2200, Evans, GA 30809. The listed phone number is (706) 722-0705.

What is Augusta Urology Associates, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Augusta Urology Associates, LLC enrolled in Medicare?

Yes. Augusta Urology Associates, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Augusta Urology Associates, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Augusta Urology Associates, 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 Urology (4) and Nurse Practitioner (1). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Augusta Urology Associates, LLC hold CLIA laboratory certificates?

Yes. 2 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 Augusta Urology Associates, LLC accept?

Health plans from BlueCross BlueShield of South Carolina list Augusta Urology Associates, 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 Augusta Urology Associates, LLC was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.