NPIMap

Organization Active NPI

Mercymed of Columbus Inc

  • Family Medicine Physician
  • Columbus, GA
National Provider Identifier
1124800545
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MERCYMED OF COLUMBUS INC
Practice address
110 21St St Apt 3101
Columbus, GA 31901-1057
Phone
(706) 507-9209
Fax
(706) 507-9249
NPI assigned
Oct 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Authorized official

Name
Mr. Tony Nguyen
Title
Chief Operations Officer
Phone
(706) 507-9209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

110 21St St Apt 3101
Columbus, GA 31901-1057

Mailing address

3702 2ND Ave
Columbus, GA 31904-7408
Phone (706) 507-9209

National Provider Directory

National Provider Directory
Tax ID family
Mercymed of Columbus Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3702 2nd Ave
Columbus, GA 31904
Phone (706) 507-9209

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8710/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1697673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1124800545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 2ND AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319047408",
            "telephone_number": "706-507-9209",
            "fax_number": "706-507-9209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 21ST ST APT 3101",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011057",
            "telephone_number": "706-507-9209",
            "fax_number": "706-507-9249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCYMED OF COLUMBUS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-19",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "706-507-9209",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "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 Oct 19, 2023; 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.