OrganizationActive
University Medical Group LLC
NPI 1104199751 · Family Medicine Physician · North Augusta, SC
Provider details
- NPI number
- 1104199751
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Julie Deason, Director Physician Revenue Cycle(706) 774-8326
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- General Practice Physician208D00000X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
309 West Ave
North Augusta, SC 29841-3800
Phone: (803) 279-1412
Fax: (706) 774-7230
Street-level locationGet directions
Mailing address
Po Box 1705
Augusta, GA 30903-1705
Registry dates
- Enumerated
- 2012-02-13
- Last updated
- 2017-12-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.