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 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
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 Anti-aging Medicine, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Augusta Anti-Aging Medicine, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Augusta Anti-Aging Medicine, LLC enrolled in Medicare?
Yes. Augusta Anti-Aging Medicine, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Augusta Anti-Aging Medicine, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Augusta Anti-Aging Medicine, 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. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Augusta Anti-Aging Medicine, Llc · NPI 1568047876
Family organization in Evans, Georgia. Organization record, active in the CMS NPPES registry since March 17, 2021.
## Identity
- **NPI:** 1568047876 (Entity type: Organization)
- **Enumerated:** March 17, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Also known as:** Augusta Anti-Aging Medicine, LLC (Former Legal Business Name)
- **Organization subpart:** No
- **Authorized official:** Samantha Tojino, SINGLE MEMBER
## Practice location
- **Address:** 610 PONDER PLACE DR, Evans, GA 30809-3185
- **Phone:** (706) 707-2808
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 17, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1568047876) · Data from the CMS NPPES public registry.