Active NPI
Edward Wylly Killorin Jr., MD
- Urology Physician
- Columbus, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 032219
- Practice address
- 1538 13TH Avenue
BLD a
Columbus, GA 31901 - Phone
- (706) 323-4000
- Fax
- (706) 323-4848
- NPI assigned
- Feb 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 032219 | GA | Primary |
Addresses
Primary practice location
1538 13TH Avenue
BLD a
Columbus, GA 31901
Mailing address
2300 Manchester Expy Ste 2001a
Columbus, GA 31904-6802
Phone (706) 320-3126
Other practice location 1
2548 Weems Rd
Columbus, GA 31909-6248
Phone (706) 320-3126
Other practice location 2
2300 Manchester Expy Ste A002
Columbus, GA 31904-6805
Phone (706) 320-3203
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005420778 | Medicaid | GA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Medical College of Georgia School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2122 Manchester Expy
Columbus, GA 31904-6878
Phone (706) 320-2773
2300 Manchester Expy
Columbus, GA 31904-6805
Hospital & facility affiliations
- Prohealth Home Health-Georgia, LLC
- Prohealth Home Health
- St Francis Hospital- Emory Healthcare
- Piedmont Columbus Regional Midtown
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 38 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032219 | GA | MD | Urology Physician |
| 12590 | GA | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Francis Physician Practices LLC | Current | Accepting new patients | |
| St. Francis Physician Practices LLC | Current | Accepting new patients | |
| St. Francis Physician Practices LLC | Current | Accepting new patients | |
| St. Francis Center for Surgical Care, LLC | Past | Accepting new patients |
Locations
2548 Weems Rd
Columbus, GA 31909
Phone (404) 265-4000
2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128
2300 Manchester Expy
Ste A002
Columbus, GA 31904
Phone (706) 320-3203
2300 Manchester Expy
Ste 2001A
Columbus, GA 31904
Phone (706) 320-3126
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Columbus, GA
- NPI 1326749417
-
- Clinical Cardiac Electrophysiology Physician
- Columbus, GA
- NPI 1982079323
-
- Gastroenterology Physician
- Columbus, GA
- NPI 1609655646
-
- Surgery Physician
- Columbus, GA
- NPI 1891861043
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Cartersville, GA
- NPI 1467154740
-
- General Acute Care Hospital
- Columbus, GA
- NPI 1033228168
-
- General Acute Care Hospital
- Columbus, GA
- NPI 1255401519
-
- Home Health Agency
- Birmingham, AL
- NPI 1194324624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1013981968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 MANCHESTER EXPY STE 2001A",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319046802",
"telephone_number": "706-320-3126",
"fax_number": "706-320-3054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1538 13TH AVENUE",
"address_2": "BLD A",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "31901",
"telephone_number": "706-323-4000",
"fax_number": "706-323-4848"
}
],
"practiceLocations": [
{
"address_1": "2548 Weems Rd",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "GA",
"postal_code": "319096248",
"country_code": "US",
"telephone_number": "706-320-3126",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2300 Manchester Expy Ste A002",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "GA",
"postal_code": "319046805",
"country_code": "US",
"telephone_number": "706-320-3203",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KILLORIN",
"first_name": "EDWARD",
"middle_name": "WYLLY",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-16",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "GA",
"license": "032219",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005420778",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
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 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.