Organization Active NPI

Columbus Lung Physicians PLLC

  • Pulmonary Disease Physician
  • Columbus, MS
National Provider Identifier
1063505386
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
COLUMBUS LUNG PHYSICIANS PLLC
Practice address
425 Hospital Dr
Suite1
Columbus, MS 39705-1901
Phone
(662) 327-8455
Fax
(662) 327-8424
NPI assigned
Sep 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Authorized official

Name
Susan G Taylor, M.D.
Title
Owner
Phone
(662) 327-8455

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

425 Hospital Dr
Suite1
Columbus, MS 39705-1901

Mailing address

425 Hospital Dr
Suite1
Columbus, MS 39705-1901
Phone (662) 327-8455

Other identifiers 1

IdentifierTypeStateIssuer
04200209MedicaidMS

National Provider Directory

National Provider Directory

Locations

3495 Bluecutt Rd
Columbus, MS 39705
Phone (662) 327-8455

2401 5th St N
#1
Columbus, MS 39705
Phone (662) 327-8455

425 Hospital Dr
Ste 1
Columbus, MS 39705
Phone (662) 327-8455

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1063505386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 HOSPITAL DR",
            "address_2": "SUITE1",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397051901",
            "telephone_number": "662-327-8455",
            "fax_number": "662-327-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 HOSPITAL DR",
            "address_2": "SUITE1",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397051901",
            "telephone_number": "662-327-8455",
            "fax_number": "662-327-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS LUNG PHYSICIANS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-327-8455",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04200209",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.