NPI age
2 years
Enumerated 2023-08-22
● Active Type 2 · Organization
Augusta University
Augusta University is 1 of 66 family medicine organizations in Georgia.
Primary specialty
Family Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bass
Administrator/agent
Last NPPES update
2023-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 66 active family medicine providers in Georgia.
NPI age
2 years
↓ 13 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2023 → 2026
2023-08Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
1120 15th St # B132
Augusta, GA 309120004
Mailing address
15305 Dallas Pkwy Ste 800
Addison, TX 750016415
Authorized official
Mouzon Bass
Administrator/agent
📞 9723674845
Specialties
-
Family Medicine PrimaryA family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
AUGUSTA UNIVERSITY ATHLETICS
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.