AUGUSTA UROLOGY ASSOCIATES, LLC - NPI 1366511834

Q: 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.

Q: What is Augusta Urology Associates, LLC's specialty?

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

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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 a CLIA Certificate of Compliance certificate valid through September 15, 2026, 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

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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 Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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 Compliance 11D0938125

Augusta Urology Associates LLC · Evans, GA

Active · expires Sep 15, 2026

CLIA Number11D0938125

Laboratory TypePhysician Office

Certificate Effective DateSeptember 16, 2024

Certificate Expiration DateSeptember 15, 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.

Other Providers at the Same Location NPPES 11

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

MR. HENRY NORTH GOODWIN JR. MD

Urology