Active NPI
Medical Center Inc
- Community/Retail Pharmacy
- Columbus, GA
National Provider Identifier
1013967009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHRE006882
- Legal business name
- MEDICAL CENTER INC
- Practice address
- 1800 10TH Ave
Columbus, GA 31901-1529 - Phone
- (706) 321-3777
- Fax
- (706) 321-3751
- NPI assigned
- May 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debra Nowlin, B.S. PHARMACY
- Title
- Director of Pharmacy
- Phone
- (706) 660-2757
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHRE006882 | GA | Primary |
Addresses
Primary practice location
1800 10TH Ave
Columbus, GA 31901-1529
Mailing address
1800 10TH Ave Ste H
Columbus, GA 31901-1529
Phone (706) 321-3777
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000371159A | Medicaid | GA | |
| 2019136 | Other | PK |
Other names 1
- Piedmont Pharmacy - Community Health,
National Provider Directory
National Provider Directory- Tax ID family
- Medical Ctrcancer Clinic
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Institutional Pharmacy
- Columbus, GA
- NPI 1043421928
-
- Specialty Pharmacy
- Columbus, GA
- NPI 1437096062
-
- Pharmacy
- Columbus, GA
- NPI 1962948414
-
- Land Ambulance
- Columbus, GA
- NPI 1013639764
-
- Clinic/Center
- Columbus, GA
- NPI 1104130749
Locations
1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120
1800 10th Ave
Ste H
Columbus, GA 31901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629763200000",
"number": "1013967009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 10TH AVE STE H",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319011529",
"telephone_number": "706-321-3777",
"fax_number": "706-321-3751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 10TH AVE",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319011529",
"telephone_number": "706-321-3777",
"fax_number": "706-321-3751"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-11",
"last_updated": "2021-08-24",
"certification_date": "2021-08-24",
"status": "A",
"authorized_official_last_name": "NOWLIN",
"authorized_official_first_name": "DEBRA",
"authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
"authorized_official_telephone_number": "706-660-2757",
"authorized_official_credential": "B.S. PHARMACY"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "GA",
"license": "PHRE006882",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000371159A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2019136",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Piedmont Pharmacy - Community Health,",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.