SOUTH COLUMBUS FAMILY PRACTICE (NPI# 1659592137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659592137 |
| Entity Type | Organization |
| Organization Name | SOUTH COLUMBUS FAMILY PRACTICE |
| Practice Address |
4000 Saint Marys Rd Columbus GA 31907-7626 |
| Practice Telephone | 7066852770 |
| Practice Fax Number | 7066853299 |
| Mailing Telephone | 7066852770 |
| Mailing Fax Number | 7066853299 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SHABBIR MOTIWALA (MD) |
| Authorized Official Telephone | 7066852770 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
036581 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 303731 | 05 |
| Street Address |
4000 SAINT MARYS RD |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31907-7626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306820253 | Shabbir Motiwala | Family Medicine | 4000 Saint Marys Rd, Columbus, GA 31907-6258 | 2005-12-05 |
| 1255819447 | Suja P Antony | Nurse Practitioner | 4000 Saint Marys Rd, Columbus, GA 31907-7626 | 2018-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702051 | At Ease Private Home Care, LLC | Home Health | 3906 Pond View Court, Columbus, GA 31907 | 2020-05-20 |
| 1285268219 | Mh 102, PC | Nurse Practitioner | 1 Aflac Parkway, Columbus, GA 31907 | 2020-02-28 |
| 1427602978 | Alicia Keeshan Taylor | Massage Therapist | 5401 Gunboat Dr Unit 31, Columbus, GA 31907 | 2019-08-01 |
| 1285101071 | Valerie Rena Bickham | Chore Provider | 1259 Bismarck Drive, Columbus, GA 31907 | 2018-10-30 |
| 1629555172 | West Georgia Regenerative Medicine LLC | Physical Therapist | 3624 Edgewood Rd Ste B, Columbus, GA 31907 | 2018-07-26 |
| 1659866747 | Transitional Independence, LLC | In Home Supportive Care | 5633 Lexington Dr, Columbus, GA 31907 | 2018-06-29 |
| 1598285892 | Aa Personal Care, LLC | Nursing Care | 547 Moye Rd, Columbus, GA 31907 | 2017-06-27 |
| 1366981573 | Sabrina Renae Crosby Lopes | Counselor | 1120 21st Unit -a, Columbus, GA 31907 | 2017-02-21 |
| 1326445073 | Angela James | Nurse Practitioner | 6400 Flatrock Road, Columbus, GA 31907 | 2014-11-24 |
| 1841617255 | Sabrina Ann Patterson | Community Health Worker | 2726 Courtland, Columbus, GA 31907 | 2014-03-24 |
| Find all providers in zip 31907 | ||||
| Taxonomy Code | 207QH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Hospice and Palliative Medicine |
| A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376938571 | Kerry Bertke | Family Medicine | 800 Mcconnell Rd, Columbus, OH 43214-3463 | 2015-04-03 |
| 1235534314 | Yuko Iwanaga | Family Medicine | 800 Mcconnell Rd, Columbus, OH 43214-3463 | 2014-10-31 |
| 1295029387 | Tommy John Petros | Family Medicine | 800 Mcconnell Rd, Columbus, OH 43214-3463 | 2011-06-06 |
| 1538452321 | Nicole Marie Shirilla | Family Medicine | 1581 Dodd Dr, Columbus, OH 43210 | 2011-05-26 |
| 1689801953 | Mount Carmel Hospice | Family Medicine | 1144 Dublin Rd, Columbus, OH 43215-1039 | 2009-06-15 |
| 1013103423 | Columbus Palliative Care, Inc. | Family Medicine | 7020 Moon Rd, Columbus, GA 31909-4900 | 2007-09-19 |
| 1588871297 | Nasra Mohamed Ahmed | Family Medicine | 4300 Clime Rd, #110, Columbus, OH 43228-6491 | 2007-05-16 |
| 1578671970 | Prima R Foster | Family Medicine | 2000 16th Ave, Columbus, GA 31901-1665 | 2006-08-26 |
| 1104867464 | Philip Santa-emma | Family Medicine | 1144 Dublin Rd, Columbus, OH 43215-1039 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548501000 | Bethany Hospice and Palliative Care of Coastal Georgia, LLC | Family Medicine | 8395 Us Highway 301, Claxton, GA 30417-5992 | 2013-03-08 |
| 1205121811 | Ceveland Thompson IIi | Family Medicine | 208 Plantation Dr, Waycross, GA 31501-4269 | 2011-06-10 |
| 1538339726 | Alice Irene Lawver | Family Medicine | 2362 Lawrenceville Highway, Decatur, GA 30033 | 2008-03-04 |
| 1285284893 | Affinity Acquisitions Georgia LLC | Family Medicine | 12 Sammy Mcghee Blvd Ste 202, Jasper, GA 30143-7712 | 2019-09-16 |
| 1013485382 | Alisha Dalila Springer | Family Medicine | 500 Osigian Blvd, Warner Robins, GA 31088-8995 | 2018-11-05 |
| 1194230763 | Grace Hospice Services LLC | Family Medicine | 2398 Lenora Church Rd, Snellville, GA 30078-6921 | 2017-12-05 |
| 1205380995 | Seasons Medical Group of Georgia PC | Family Medicine | 5775 Peachtree Dunwoody Rd Ne, Suite C120, Atlanta, GA 30342-1501 | 2016-08-10 |
| 1871968511 | Prime By Aseracare LLC | Family Medicine | 1117 Perimeter Ctr, N500, Atlanta, GA 30338-5451 | 2015-12-07 |
| 1942593959 | Wellstar Medical Group, LLC | Family Medicine | 4040 Hospital West Dr, Austell, GA 30106-8117 | 2011-05-24 |
| 1366671711 | Jesse Ann Soodalter | Family Medicine | 550 Peachtree St Ne, Atlanta, GA 30308 | 2009-07-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SOUTH COLUMBUS FAMILY PRACTICE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.