Columbus Primary Care Internal Medicine PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

044408 Issued in GA

Legal business name

COLUMBUS PRIMARY CARE INTERNAL MEDICINE PC

Practice address

1041 Talbotton Rd
Columbus, GA 31904-8745

Phone

(706) 660-8825

Fax

(706) 660-8897

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Edet O Bassey, M.D.NPI 1336123181

Title

Ceo President

Phone

(706) 660-8825

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5849/brand/1/csg/1/fhir/r4

Practitioners 4

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

• Edet Okon Bassey, MD

  • Internal Medicine Physician
  • Columbus, GA
  • NPI 1336123181

  GA, Internal Medicine

  Medicare reassignment NPD Authorized official
• Samuel Hunter, M.D.,PH. D

  • Internal Medicine Physician
  • Columbus, GA
  • NPI 1588686323

  Internal Medicine

  NPD (past)
• Christina Anderson, NP-C

  • Family Nurse Practitioner
  • Opelika, AL
  • NPI 1386950640
  NPD (past)
• Thar Yahya Yasir Elbaage, MD

  • Cardiovascular Disease Physician
  • El Paso, TX
  • NPI 1851336341

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1063566909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2746",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319022746",
            "telephone_number": "706-660-8825",
            "fax_number": "706-660-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 TALBOTTON RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048745",
            "telephone_number": "706-660-8825",
            "fax_number": "706-660-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS PRIMARY CARE INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "BASSEY",
        "authorized_official_first_name": "EDET",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "706-660-8825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "044408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000807881C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00807881C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Columbus Pathology PC
• Columbus Pediatric Associates, PC
• Columbus Physical Medicine Center, Inc.
• Columbus Plastic & Cosmetic Surgery Clinic, PC
• Columbus Plastic Surgery, P.C.
• Columbus PSR/Peer Center
• Columbus Psychological Assoc.
• Columbus Psychological Associates, LLP
• Columbus Radiation Oncology Associates, P.C.
• Columbus Radiation Oncology Treatment Center LLC

• Internal Medicine Physician in Columbus, GA
• Providers in Columbus, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.