Active NPI
Columbus Pain Center, P.C.
- Interventional Pain Medicine Physician
- Columbus, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 30885
- Legal business name
- COLUMBUS PAIN CENTER, P.C.
- Practice address
- 7141 Moon Rd
Columbus, GA 31909-3137 - Phone
- (706) 322-7246
- Fax
- (706) 596-2115
- NPI assigned
- Jun 20, 2006
- Last updated
- Aug 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel Henry Serrato, M. D.
- Title
- President
- Phone
- (706) 322-7246
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | 30885 | GA | Primary |
Addresses
Primary practice location
7141 Moon Rd
Columbus, GA 31909-3137
Mailing address
PO Box 9456
Columbus, GA 31908-9456
Phone (706) 322-7246
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 650207 | Other | GA | BCBS PROVIDER ID |
| 00460171D | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7141 Moon Rd
Columbus, GA 31909
Phone (706) 258-9998
7141 Moon Rd
Ste A
Columbus, GA 31909
Phone (706) 322-7246
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/eab031dc-b014-4e04-af2a-409cb0a42bac/
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Interventional Pain Medicine Physician
- Columbus, GA
- NPI 1114960382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188259200000",
"number": "1093750176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9456",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319089456",
"telephone_number": "706-322-7246",
"fax_number": "706-596-2115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7141 MOON RD",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319093137",
"telephone_number": "706-322-7246",
"fax_number": "706-596-2115"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLUMBUS PAIN CENTER, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-20",
"last_updated": "2007-08-28",
"status": "A",
"authorized_official_last_name": "SERRATO",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "HENRY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "706-322-7246",
"authorized_official_credential": "M. D."
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "GA",
"license": "30885",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER ID",
"identifier": "650207",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00460171D",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, GA
- Columbus Medical Associates
- Columbus Medical Oncology Associates, P.C.
- Columbus Memory Center, PC
- Columbus Oral & Maxillofacial Surgery PC
- Columbus Orthopaedic Associates LLC
- Columbus Palliative Care, Inc.
- Columbus Pathology PC
- Columbus Pediatric Associates, PC
- Columbus Physical Medicine Center, Inc.
- Columbus Plastic & Cosmetic Surgery Clinic, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.