AUGUSTA STATE MEDICAL PRISON
NPI 1902397151
Pharmacy - Institutional Pharmacy in Grovetown, GA

Q: What is Augusta State Medical Prison's NPI number?

The NPI number for Augusta State Medical Prison is 1902397151. It was assigned to this organization in the NPPES registry on May 23, 2018.

Q: What is Augusta State Medical Prison's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Institutional Pharmacy, with taxonomy code 3336I0012X.

Active since May 23, 2018CLIA 11D1032456 · Waiver

3001 GORDON HWY, GROVETOWN, GA 30813(706) 855-4744(706) 869-7990 Get Directions Write a Review

NPPES record last updated: May 23, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Augusta State Medical Prison NPPES

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

AUGUSTA STATE MEDICAL PRISON (NPI 1902397151) is a healthcare organization registered as an institutional pharmacy in Grovetown, Georgia and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through June 30, 2028 and lists Elaine Reifinger, Pharmacy Director, as its authorized official.

NPPES Registry Identity

NPI1902397151

Entity TypeOrganization

Primary Taxonomy3336I0012X

Legal Business NameAUGUSTA STATE MEDICAL PRISON

Location Address3001 GORDON HWYGrovetown, GA 30813-3808

Mailing Address3001 Gordon HwyGrovetown, GA 30813-3808 · (706) 855-4744 · Fax (706) 869-7990

Phone(706) 855-4744

Fax(706) 869-7990

Organization SubpartYesParent: Georgia Department Of Corrections

Authorized OfficialElaine ReifingerPharmacy Director · (706) 855-4789

Enumeration DateMay 23, 2018

✔ NPI 1902397151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Institutional PharmacySuppliers

Taxonomy Code3336I0012X

License✔ Licensed in GA · PHH006083

Definition

A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

3001 GORDON HWY, Grovetown, GA 30813

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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 11D1032456

Augusta State Medical Prison · Grovetown, GA

Active · expires Jun 30, 2028

CLIA Number11D1032456

Laboratory TypePrison

Certificate Effective DateJuly 1, 2026

Certificate Expiration DateJune 30, 2028

Laboratory DirectorLee Larowe

Laboratory Phone(678) 470-3977

Laboratory LocationAugusta State Medical Prison3001 Gordon Highway, Grovetown, GA 30813

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

DR. CYNTHIA S DITSLEAR D.D.S

Dentist