Columbus Memory Center, PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

COLUMBUS MEMORY CENTER, PC

Practice address

7196 N Lake Dr
Columbus, GA 31909-1693

Phone

(706) 327-4000

Fax

(706) 324-2557

NPI assigned

Mar 1, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Leonard Liss, MD

Title

President

Phone

(706) 327-4000

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 4

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

• George M Benashvili, MD

  • Diagnostic Radiology Physician
  • Columbus, GA
  • NPI 1063498400

  GA

  Medicare reassignment NPD
• Jose Alfonso Canedo, MD

  • Neurology Physician
  • Columbus, GA
  • NPI 1306979828

  GA, Neurology

  Medicare reassignment NPD
• Samuel Agyakwah Osei-Bonsu, M.D.

  • Vascular & Interventional Radiology Physician
  • Brooklyn, NY
  • NPI 1457617045

  GA

  Medicare reassignment NPD
• Crystal Claridy, N.P.

  • Family Nurse Practitioner
  • Columbus, GA
  • NPI 1235680745
  NPD (past)

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

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1083171607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7196 N LAKE DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319091693",
            "telephone_number": "706-327-4000",
            "fax_number": "706-324-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7196 N LAKE DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319091693",
            "telephone_number": "706-327-4000",
            "fax_number": "706-324-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS MEMORY CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-01",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "LISS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "LEONARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-327-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Columbus Hospice, Inc.
• Columbus Hospitalist Services, LLC
• Columbus Joint Pain Solutions and Functional Medicine, LLC
• Columbus Medical Associates
• Columbus Medical Oncology Associates, P.C.
• Columbus Oral & Maxillofacial Surgery PC
• Columbus Orthopaedic Associates LLC
• Columbus Pain Center, P.C.
• Columbus Palliative Care, Inc.
• Columbus Pathology PC

• All providers in Columbus, GA
• Neurology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.