Active NPI
Malachi Hutto III, P.A.
- Surgical Physician Assistant
- Columbus, GA
National Provider Identifier
1114177722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 005420
- Practice address
- 2300A Manchester Express Way Suite 101a
St. Francis Orthopaedic Institute
Columbus, GA 31904 - Phone
- (706) 322-6646
- Fax
- (706) 322-2891
- NPI assigned
- Sep 19, 2008
- Last updated
- Apr 21, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 005420 | GA | Primary |
Addresses
Primary practice location
2300A Manchester Express Way Suite 101a
St. Francis Orthopaedic Institute
Columbus, GA 31904
Mailing address
2300A Manchester Express Way Suite 101a
St. Francis Orthopaedic Institute
Columbus, GA 31904
Phone (706) 322-6646
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports Medicine Associates of Augusta, LLC | Past | Accepting new patients | |
| Midlands Orthopaedics and Neurosurgery, PA | Past | Accepting new patients | |
| St. Francis Orthopaedic Institute LLC | Past | Accepting new patients |
Organizations & group practices 3
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 Champion Orthopedics
- Orthopaedic Surgery Physician
- Augusta, GA
- NPI 1255565503
-
- Orthopaedic Surgery Physician
- Columbus, GA
- NPI 1831272582
-
- Orthopaedic Surgery Physician
- Columbia, SC
- NPI 1447235106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240272000000",
"number": "1114177722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300A MANCHESTER EXPRESS WAY SUITE 101A",
"address_2": "ST. FRANCIS ORTHOPAEDIC INSTITUTE",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "31904",
"telephone_number": "706-322-6646",
"fax_number": "706-322-2891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300A MANCHESTER EXPRESS WAY SUITE 101A",
"address_2": "ST. FRANCIS ORTHOPAEDIC INSTITUTE",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "31904",
"telephone_number": "706-322-6646",
"fax_number": "706-322-2891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTTO",
"first_name": "MALACHI",
"name_suffix": "III",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-19",
"last_updated": "2009-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "GA",
"license": "005420",
"primary": true
}
],
"identifiers": [],
"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 Apr 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.