Columbus Diagnostic Center Inc

A Medicare group practice based in Jacksonville, FL: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3375455884), with 91 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3375455884The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
AL, AZ, CA, FL, GA, IL, IN, MI, MS, MT, ND, NV, NY, PA, SC, TN, TX, VA, WA, WV
Enrollments
20
Group size
25 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
44In 38 places

Enrollment records 20

Enrollment IDStateProvider typeNPI
O20040429001218 GA Part B Supplier - Clinic/Group Practice 1316108624
O20240110000641 TN Part B Supplier - Clinic/Group Practice 1316108624
O20240108003448 NV Part B Supplier - Clinic/Group Practice 1316108624
O20230925003153 WV Part B Supplier - Clinic/Group Practice 1316108624
O20230925002886 SC Part B Supplier - Clinic/Group Practice 1316108624
O20230925002679 VA Part B Supplier - Clinic/Group Practice 1316108624
O20231009002247 IL Part B Supplier - Clinic/Group Practice 1316108624
O20230929002574 CA Part B Supplier - Clinic/Group Practice 1316108624
O20231218002627 MT Part B Supplier - Clinic/Group Practice 1316108624
O20231214000332 MI Part B Supplier - Clinic/Group Practice 1316108624
O20231206002793 MS Part B Supplier - Clinic/Group Practice 1316108624
O20231019002674 TX Part B Supplier - Clinic/Group Practice 1316108624
O20231027002651 NY Part B Supplier - Clinic/Group Practice 1316108624
O20231101002570 PA Part B Supplier - Clinic/Group Practice 1316108624
O20230801003923 WA Part B Supplier - Clinic/Group Practice 1316108624
O20230428001971 FL Part B Supplier - Clinic/Group Practice 1316108624
O20230508001015 AL Part B Supplier - Clinic/Group Practice 1316108624
O20230623001733 AZ Part B Supplier - Clinic/Group Practice 1316108624
O20240618003173 ND Part B Supplier - Clinic/Group Practice 1316108624
O20240304000993 IN Part B Supplier - Clinic/Group Practice 1316108624

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 91

Clinicians who reassign their Medicare benefits to this group (91) or whom Care Compare lists as members (25).

Sources for this page