Healthcare Provider Details

I. General information

NPI: 1073443503
Provider Name (Legal Business Name): NEIGHBORHOOD IMPROVEMENT PROJECT, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 GARREDD BLVD STE A
AUGUSTA GA
30909-6751
US

IV. Provider business mailing address

2467 GOLDEN CAMP RD
AUGUSTA GA
30906-5515
US

V. Phone/Fax

Practice location:
  • Phone: 706-863-5776
  • Fax: 706-737-3857
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: WESLEY S WOOD
Title or Position: CFO
Credential:
Phone: 706-790-4440