Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Augusta Anti-Aging Medicine, LLC

Organization Family Nurse Practitioner · NPI 1568047876

Augusta Anti-Aging Medicine, LLC is a Family Nurse Practitioner in Evans, Georgia. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

610 Ponder Place Dr
Evans, GA 30809-3185
Phone: (706) 707-2808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 605 Medinah Dr, Augusta, GA 30907-9430 — (706) 707-2808

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1568047876
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samantha Tojino — Single Member · (706) 707-2808
Other names Augusta Anti-Aging Medicine, Llc
NPI enumeratedMarch 17, 2021
Last updated in NPPESMarch 17, 2021
Certification dateMarch 17, 2021
Mailing address610 Ponder Place Dr, Evans, GA 30809-3185

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