COLUMBUS DERMATOLOGY, PC (NPI# 1932280229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932280229 |
| Entity Type | Organization |
| Organization Name | COLUMBUS DERMATOLOGY, PC |
| Practice Address |
7301 Blackmon Rd Columbus GA 31909-4478 |
| Practice Telephone | 7065682700 |
| Practice Fax Number | 7065682705 |
| Mailing Telephone | 7065682700 |
| Mailing Fax Number | 7065682705 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ANNE GAGNE (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 7065682700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
6696501 | GA | Ambulatory Health Care Facilities |
| Street Address |
7301 BLACKMON RD |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31909-4478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134162720 | Gail Lynch | Nurse Practitioner | 7301 Blackmon Rd, Columbus, GA 31909-4478 | 2006-06-13 |
| 1558682880 | Ella Cecilia Amador | Family Medicine | 7301 Blackmon Rd, Columbus, GA 31909-4478 | 2010-06-22 |
| 1730260019 | Randolph P Cousins | Physician Assistant | 7301 Blackmon Rd, Columbus, GA 31909-4478 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747403 | Abundant Heart Healthcare Solution, LLC | Adult Companion | 6361 Talokas Lane, Ste C 140-279, Columbus, GA 31909 | 2020-07-14 |
| 1477185791 | Shandis Denise Phaneuf | Licensed Practical Nurse | 6545 Gregg Dr, Columbus, GA 31909 | 2020-02-05 |
| 1164086203 | Brock Musick | Physical Therapist | 100 First Court, Columbus, GA 31909 | 2019-04-24 |
| 1407340037 | Courtney Patterson | Behavior Technician | 5900 Warm Springs Road, Suite J, Columbus, GA 31909 | 2018-06-18 |
| 1225543515 | Oral & Facial Surgery of East Alabama, LLC | Dentist | 4405 N Stadium Drive, Suite A, Columbus, GA 31909 | 2017-12-08 |
| 1528577368 | Courtney Anne Young | Nurse Practitioner | 2700 Double Churches Rd, Apt 1207, Columbus, GA 31909 | 2017-09-25 |
| 1427573542 | Megan Renee Kwon | Dietitian, Registered | 4343 Warm Springs Road Apt. 110, Columbus, GA 31909 | 2017-08-09 |
| 1942659305 | Stephanie Mcghee | Dental Hygienist | 4835 Turnberry Lane, Columbus, GA 31909 | 2016-06-07 |
| 1770932162 | Tammy Allen | Dental Assistant | 701 Hoff Rd Building 9240, Ft. Benning, GA 31909 | 2016-06-07 |
| 1003265406 | Rhonda Mills | Dental Assistant | 7101 Hoff Rd Building 9240, Ft. Benning, GA 31909 | 2016-06-07 |
| Find all providers in zip 31909 | ||||
| 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.