NPIMap

Individual provider Active NPI

Reinaldo D Verson, MD

  • Neurology Physician
  • Columbus, GA
National Provider Identifier
1063435428
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
038120 Issued in GA
Practice address
1629 10TH Ave
Columbus, GA 31901-3518
Phone
(706) 408-7751
Fax
(833) 740-4449
NPI assigned
Jul 26, 2006
Last updated
Jul 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 38120 GA
Neurology Physician 2084N0400X 038120 GA Primary

Addresses

Primary practice location

1629 10TH Ave
Columbus, GA 31901-3518

Mailing address

1629 10TH Ave
Columbus, GA 31901-3518
Phone (706) 408-7751

Other identifiers 3

IdentifierTypeStateIssuer
0629153CMedicaidGA
000629153EMedicaidGA
130017941OtherGARAIL ROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100319000208 GA Practitioner - Neurology 8820123581 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1629 10TH Ave
Columbus, GA 31901-3518
Phone (706) 408-7751

610 19TH St
Columbus, GA 31901-1528
Phone (706) 322-7884

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38120GAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mac - Macon Road LLC Current Accepting new patients
Regional Health Diagnostics Inc CurrentSince Jan 1, 2022 Accepting new patients
St. Francis Physician Practices LLC Current Accepting new patients
St Francis Affiliated Services LLC Neurology CurrentSince Jan 1, 2016 Accepting new patients
St. Francis Physician Practices LLC CurrentSince Sep 1, 2024 Accepting new patients
Columbus Clinic, P.C. Current Accepting new patients
St Francis Affiliated Services LLC CurrentSince Jan 1, 2016 Accepting new patients
St Francis Affiliated Services LLC Neurology Current Accepting new patients
Neurosomatic Institute of Columbus LLC Neurology PastSince Mar 6, 2026 Accepting new patients
Columbus Clinic PC PastSince Mar 21, 2012 Accepting new patients

Locations

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

2300 Manchester Expy
Ste A201
Columbus, GA 31904
Phone (706) 243-4550

3465 Macon Rd
Ste D
Columbus, GA 31907
Phone (706) 243-3051

500 18th St
Ste A10
Columbus, GA 31901
Phone (706) 221-9296

610 19th St
Columbus, GA 31901
Phone (706) 322-7884

705 17th St
Columbus, GA 31901
Phone (706) 243-4404

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21626/brand/2/csg/1/fhir/r4
  • Direct secure messaging: regionalhealthdiagnostics.reinaldoverson@117073.advancedmd-direct.com
  • Direct secure messaging: reinaldo.verson.3@21626.direct.athenahealth.com
  • Direct secure messaging: reinaldo.verson@gadirect.net
  • Direct secure messaging: reinaldo.verson@sfhga.gadirect.net

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1063435428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 10TH AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319013518",
            "telephone_number": "706-408-7751",
            "fax_number": "833-740-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 10TH AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319013518",
            "telephone_number": "706-408-7751",
            "fax_number": "833-740-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERSON",
        "first_name": "REINALDO",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "38120",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "038120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0629153C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000629153E",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "130017941",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.