Organization Active NPI

GT Urology Group PLLC

  • Urology Physician
  • Columbus, MS
National Provider Identifier
1093213951
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
12474 Issued in MS
Legal business name
GT UROLOGY GROUP PLLC
Practice address
321 Hospital Dr
Columbus, MS 39705-1920
Phone
(662) 327-2921
Fax
(662) 328-6858
NPI assigned
Jan 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Authorized official

Name
Dr. Kevin Bond, MDNPI 1841290392
Title
Owner
Phone
(662) 327-2921

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 12474 MS Primary

Addresses

Primary practice location

321 Hospital Dr
Columbus, MS 39705-1920

Mailing address

321 Hospital Dr
Columbus, MS 39705-1920
Phone (662) 327-2921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180510000826 MS Part B Supplier - Clinic/Group Practice 1254695687 Receives reassigned benefits from 2 practitioners
Practice locations: Columbus, MS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1093213951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 HOSPITAL DR",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397051920",
            "telephone_number": "662-327-2921",
            "fax_number": "662-328-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 HOSPITAL DR",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397051920",
            "telephone_number": "662-327-2921",
            "fax_number": "662-328-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GT UROLOGY GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-327-2921",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "MS",
            "license": "12474",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 25, 2018; 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.