Active NPI
Angus P Phelts III, MD
- Otolaryngology Physician
- Columbus, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 024060
- Practice address
- 2300 Manchester Expressway
Ste a-005
Columbus, GA 31904 - Phone
- (706) 324-7753
- Fax
- (706) 324-7756
- NPI assigned
- Mar 15, 2006
- Last updated
- Oct 31, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 24060 | GA | |
| Otolaryngology Physician | 207Y00000X | 024060 | GA | Primary |
Addresses
Primary practice location
2300 Manchester Expressway
Ste a-005
Columbus, GA 31904
Mailing address
PO Box 7546
Columbus, GA 31908-7546
Phone (706) 320-2773
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000415863A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24060 | GA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Francis Physician Practices LLC | Current | Accepting new patients | |
| St. Francis Physician Practices LLC | Current | Accepting new patients | |
| St Francis Physician Practices LLC | Otolaryngology | Current | Accepting new patients |
| St Francis Physician Practices LLC | Past | Accepting new patients |
Locations
2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128
2300 Manchester Expy
Ste A005
Columbus, GA 31904
Phone (706) 243-4550
2300 Manchester Expy
Ste C003
Columbus, GA 31904
Phone (706) 324-7753
3726 Woodruff Rd
Columbus, GA 31904
Phone (706) 257-7680
Interoperability endpoints
- angus.phelts@sfhga.gadirect.net
Organizations & group practices 4
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.
-
dba St. Francis Primary Care
- Family Medicine Physician
- Columbus, GA
- NPI 1326749417
-
dba St. Francis ENT
- Otolaryngology Physician
- Columbus, GA
- NPI 1962877308
-
- Gastroenterology Physician
- Columbus, GA
- NPI 1609655646
-
dba SFH Electrophysiologist Group
- Clinical Cardiac Electrophysiology Physician
- Columbus, GA
- NPI 1982079323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320019200000",
"number": "1073582789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7546",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319087546",
"telephone_number": "706-320-2773",
"fax_number": "706-596-4226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 MANCHESTER EXPRESSWAY",
"address_2": "STE A-005",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "31904",
"telephone_number": "706-324-7753",
"fax_number": "706-324-7756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHELTS",
"first_name": "ANGUS",
"middle_name": "P",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-15",
"last_updated": "2011-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "GA",
"license": "24060",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "GA",
"license": "024060",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000415863A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
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 Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.