Organization Active NPI

Ehrman H. Eldridge Jr MD LLC

Doing business as Eldridge MBS Wellness Center for Women

  • Obstetrics & Gynecology Physician
  • Columbus, GA
National Provider Identifier
1043574684
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
023947 Issued in GA
Legal business name
EHRMAN H. ELDRIDGE JR MD LLC
Doing business as
Eldridge MBS Wellness Center for Women
Practice address
1100 18TH St
Columbus, GA 31901-1723
Phone
(706) 323-9047
Fax
(706) 323-9370
NPI assigned
Jun 28, 2012
Last updated
Aug 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Authorized official

Name
Patricia Eldridge
Title
Business Manager
Phone
(706) 323-9047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 023947 GA Primary

Addresses

Primary practice location

1100 18TH St
Columbus, GA 31901-1723

Mailing address

1100 18TH St
Columbus, GA 31901-1723
Phone (706) 323-9047

Other names 1

  • Eldridge MBS Wellness Center for Women Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2268558Eldridge MBS Wellness Center for Women1100 18TH Street, Columbus, GA 31901Certificate of waiverSep 13, 2026

National Provider Directory

National Provider Directory

Locations

1100 18th St
Columbus, GA 31901
Phone (706) 323-9047

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1043574684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 18TH ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011723",
            "telephone_number": "706-323-9047",
            "fax_number": "706-323-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 18TH ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011723",
            "telephone_number": "706-323-9047",
            "fax_number": "706-323-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EHRMAN H. ELDRIDGE JR MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-28",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A",
        "authorized_official_last_name": "ELDRIDGE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "706-323-9047"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "023947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eldridge MBS Wellness Center for Women",
            "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 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.