Organization Active NPI

Medical Center Inc

  • Community/Retail Pharmacy
  • Columbus, GA
National Provider Identifier
1013967009
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE006882 Issued in GA
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

Updated by the provider on Aug 24, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000371159AMedicaidGA
2019136OtherPK

Other names 1

  • Piedmont Pharmacy - Community Health, Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medical Ctrcancer Clinic6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.