# AUGUSTA UNIVERSITY STUDENT HEALTH

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568384998
- **Authorized official:** MRS. LACEY OWENS MPA (QUALITY AND COMPLIANCE MANAGER)
- **Authorized official phone:** (706) 721-9619

## Contact information

- **Practice address:** 987 SAINT SEBASTIAN WAY \# EC1500, AUGUSTA, GA 30912-2613
- **Practice address phone:** (706) 721-3448
- **Mailing address:** 987 SAINT SEBASTIAN WAY \# EC1500, AUGUSTA, GA 30912-2613
- **Mailing address phone:** (706) 721-3448
- **Mailing address fax:** (706) 721-7468

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/28/2026
- **Last updated:** 07/28/2026