AUGUSTA ANTI-AGING MEDICINE, LLC
NPI 1568047876
Nurse Practitioner - Family in Evans, GA
About Augusta Anti-aging Medicine, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUGUSTA ANTI-AGING MEDICINE, LLC (NPI 1568047876) is a healthcare organization registered as a family in Evans, Georgia and active in the NPI registry since March 2021. The organization holds a CLIA Microscopy certificate valid through December 5, 2027, maintains a secondary practice location in Augusta, and lists Samantha S Tojino, Single Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Group Practice 1
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 for Provider-Performed Microscopy Procedures (PPMP) 11D2244776
Augusta Anti-Aging Medicine, LLC · Augusta, GAOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Anti-Aging Medicine, LLC's NPI number?
The NPI number for Augusta Anti-Aging Medicine, LLC is 1568047876. It was assigned to this organization in the NPPES registry on March 17, 2021.
Where is Augusta Anti-Aging Medicine, LLC located?
Augusta Anti-Aging Medicine, LLC is located at 610 Ponder Place Dr, Evans, GA 30809. The listed phone number is (706) 707-2808.
What is Augusta Anti-Aging Medicine, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Does Augusta Anti-Aging Medicine, LLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D2244776) is associated with this NPI, valid through December 5, 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 Augusta Anti-Aging Medicine, LLC was last updated on March 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
