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St Francis Physician Practices LLC

Organization Active NPI Obstetrics & Gynecology Physician · Columbus, GA

NPI 1043685480 · NPPES record last updated Feb 18, 2016

Key facts

NPI
1043685480
Entity type
Organization (NPI type 2)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
Legal business name
ST FRANCIS PHYSICIAN PRACTICES LLC
Practice address
2300 Manchester Expy
Ste B001
Columbus, GA 31904-6802
Phone
(706) 324-4891
Fax
(706) 576-4958
NPI assigned
Dec 10, 2015
Organization subpart
No

Authorized official

Name
Jess Judy
Title
President
Phone
(615) 920-7000

Other NPIs on the same Medicare enrollment 23

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 14

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

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20160120002073 GA Part B Supplier - Clinic/Group Practice 8729381033 Receives reassigned benefits from 295 practitioners
23 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lagrange, GA; Columbus, GA; Gainesville, GA; Braselton, GA

National Provider Directory

Tax ID family
St Francis Physician Practices LLC (15 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207V00000X Yes

Addresses

Primary practice location

2300 Manchester Expy
Ste B001
Columbus, GA 31904-6802

Mailing address

2300 Manchester Expy
Ste B001
Columbus, GA 31904-6802
Phone (706) 324-4891

Other names

  • ST FRANCIS OBGYN ASSOCIATES Doing business as

Other providers in Columbus, GA

All providers in Columbus, GA · Obstetrics & Gynecology Physician in Georgia

Sources for this page

Verify at the official NPI Registry.