Individual provider Active NPI

Anthony Vincent Ditaranto, MD

  • General Practice Physician
  • Columbus, GA
National Provider Identifier
1003951591
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
029865 Issued in GA
Practice address
118 Enterprise CT
Suite a
Columbus, GA 31904-9229
Phone
(706) 317-2226
Fax
(706) 317-2669
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 029865 GA Primary

Addresses

Primary practice location

118 Enterprise CT
Suite a
Columbus, GA 31904-9229

Mailing address

118 Enterprise CT
Suite a
Columbus, GA 31904-9229
Phone (706) 317-2226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091116000271 GA Practitioner - General PracticePractitioner - Family Practice 6204974058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Geps Physician Group of Georgia PC CurrentSince Sep 9, 2015 Accepting new patients
Horizons Diagnostics, L.L.C. Past Accepting new patients
Southwest Georgia Center of Medicine, LLC PastSince Mar 1, 2013 Accepting new patients
Acworth Pain Management Center Inc PastSince Jul 27, 2016 Accepting new patients
Columbus Joint Pain Solutions and Functional Medicine, LLC PastSince Feb 25, 2024 Accepting new patients

Locations

2850 Springdale Rd SW
Atlanta, GA 30315
Phone (404) 616-8100

5131 Warm Springs Rd
Columbus, GA 31909
Phone (706) 561-1371

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDJDBA
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1003951591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 ENTERPRISE CT",
            "address_2": "SUITE A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049229",
            "telephone_number": "706-317-2226",
            "fax_number": "706-317-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 ENTERPRISE CT",
            "address_2": "SUITE A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049229",
            "telephone_number": "706-317-2226",
            "fax_number": "706-317-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITARANTO",
        "first_name": "ANTHONY",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "029865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.