SAMRAJ MEDICAL CLINIC, P.C. (NPI# 1780863324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780863324 |
| Entity Type | Organization |
| Organization Name | SAMRAJ MEDICAL CLINIC, P.C. |
| Practice Address |
2000 12th Ave Columbus GA 31901-1638 |
| Practice Telephone | 7066532226 |
| Practice Fax Number | 7066532228 |
| Mailing Telephone | 7066532226 |
| Mailing Fax Number | 7066532228 |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | DR. JOSHUA S SAMRAJ (PRESIDENT) |
| Authorized Official Telephone | 7066532226 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
046322 | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | WELLCARE | 297594 | 01 |
| GA | BCBS | 923658 | 01 |
| GA | MEDICARE GROUP ID | GRP7206 | 01 |
| GA | 000880558C | 05 | |
| FL | MEDICARE RAILROAD CARRIER | DD4216 | 01 |
| GA | RR MEDICARE | P00226966 | 01 |
| Street Address |
2000 12TH AVE |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31901-1638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215047014 | Joshua S Samraj | Internal Medicine | 2000 12th Ave, Columbus, GA 31901-1638 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790396984 | Chisholm Trail Urgent Care Pllc | Emergency Medicine | 11 Tsys Way, Columbus, GA 31901 | 2020-08-12 |
| 1770040099 | Columbus Ga Homecare, LLC | In Home Supportive Care | 1501 13th Street., Suite G, Columbus, GA 31901 | 2019-02-22 |
| 1750868782 | Health Matters, Inc. | Clinic/Center | 1124 13th St, Columbus, GA 31901 | 2018-07-23 |
| 1447754197 | Charles Chacha Maroa Babere | Student in an Organized Health Care Education/Training Program | Columbus Regional Health, Midtown Medical Center, 1900 10th Avenue, Suit 100, Columbus, GA 31901 | 2018-03-19 |
| 1861912867 | Demetria Laprel Mcgruder | Community Health Worker | 1230 2nd Ave., Columbus, GA 31901 | 2017-06-21 |
| 1679932016 | Crystal Gayle Passmore | Counselor | 233 12th St Ste 334, Columbus, GA 31901 | 2016-02-13 |
| 1700256344 | Kendra Ward | Community Health Worker | 1230 2nd Avenue, Columbus, GA 31901 | 2015-09-25 |
| 1437556701 | Wendy Denise Thomas | Adult Companion | 1501 13th Street Suite F, Columbus, GA 31901 | 2014-12-02 |
| 1134523996 | Danielle Elaine Berry | General Practice | Tree of Life Healthcare, 1968 North Avenue, Columbus, GA 31901 | 2014-10-22 |
| 1710239330 | Kati Michelle Turner | Pharmacist | 1800 10th Avenue, Columbus, GA 31901 | 2012-10-05 |
| Find all providers in zip 31901 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215241534 | Justin Harper | Clinic/Center | 40 W Gay St, Columbus, OH 43215-2811 | 2010-07-28 |
| 1487978474 | Kim C. Florence Md PC | Clinic/Center | 2525 Skylake Dr, Columbus, GA 31907-2845 | 2010-03-18 |
| 1851351761 | Mobile Orthopedic Therapies, LLC | Clinic/Center | 100 W 3rd Ave, Suite 350, Columbus, OH 43201-3256 | 2006-03-24 |
| 1922077148 | Cummins Womens Healthcare LLC | Clinic/Center | 50 Lazelle Rd E, Columbus, OH 43235-6423 | 2006-03-17 |
| 1578033452 | Shaton Tucker | Clinic/Center | 1791 Alum Creek Dr, Columbus, OH 43207-1708 | 2018-12-04 |
| 1457879306 | Brookstone Rheumatology Associates | Clinic/Center | 2443 Brookstone Centre Pkwy Ste A, Columbus, GA 31904-4664 | 2017-08-30 |
| 1639693476 | James B Beckham Md Pllc | Clinic/Center | 255 Baptist Blvd Ste 307, Columbus, MS 39705-2006 | 2017-08-02 |
| 1205281581 | Pro-health Services LLC | Clinic/Center | 1161 Bethel Rd, Suite 303, Columbus, OH 43220-2773 | 2016-04-25 |
| 1578950929 | Matthew E. Jones, Od, Inc. | Clinic/Center | 8967 Antares Ave, Columbus, OH 43240-2012 | 2015-04-23 |
| 1760874473 | Farabaugh Chiropractic Office | Clinic/Center | 2879 E Dublin Granville Rd, Columbus, OH 43231-4063 | 2015-03-04 |
| Find all providers in COLUMBUS | ||||
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| 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.