Surgery Clinic of Columbus PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SURGERY CLINIC OF COLUMBUS PLLC

Practice address

255 Baptist Blvd Ste 306
Columbus, MS 39705-2006

Phone

(662) 328-3441

Fax

(662) 328-5540

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Thomas L Vinson, MD

Title

President

Phone

(662) 328-3441

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 4

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

• Ann Fretz, NP

  • Family Nurse Practitioner
  • West Point, MS
  • NPI 1215903794
  NPD (past)
• Newt Parks Harrison Jr., M.D.

  • Vascular Surgery Physician
  • Tupelo, MS
  • NPI 1285619163
  NPD (past)
• Sarah Powell, FNP-C

  • Family Nurse Practitioner
  • West Point, MS
  • NPI 1235508276
  NPD (past)
• Andrzej Wartak, MD

  • Internal Medicine Physician
  • West Point, MS
  • NPI 1144286360
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1073736658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 BAPTIST BLVD STE 306",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052006",
            "telephone_number": "662-328-3441",
            "fax_number": "662-328-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 BAPTIST BLVD STE 306",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052006",
            "telephone_number": "662-328-3441",
            "fax_number": "662-328-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CLINIC OF COLUMBUS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "VINSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-328-3441",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015416",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "SO858PR",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren B Sullivan
• Linda Gail Sumner
• Bradley F. Sumrall, PA-C
• Doyle F Sumrall, M.D.
• Minyoung Sung
• Shelah Swart
• Pamela O Sykes, M.D.
• Chisa Talley, DHA, LNHA
• Keyaundria Tate, RN
• Korki S Tate, NP

• Surgery Physician in Columbus, MS
• Providers in Columbus, MS by specialty
• Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.