Individual provider Active NPI

Anthony A Olofintuyi, M.D.

  • Internal Medicine Physician
  • Columbus, GA
National Provider Identifier
1144384827
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
GA045309 Issued in GA
Practice address
2009 Warm Springs Rd
Columbus, GA 31904-7931
Phone
(706) 320-0055
Fax
(706) 576-5513
NPI assigned
Dec 20, 2006
Last updated
Sep 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X GA045309 GA Primary

Addresses

Primary practice location

2009 Warm Springs Rd
Columbus, GA 31904-7931

Mailing address

135 Rocky Shoals Dr
Midland, GA 31820-4817
Phone (706) 569-1568

Other identifiers 2

IdentifierTypeStateIssuer
00802986BMedicaidGA
00802986EMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090323000043 GA Practitioner - Internal MedicinePractitioner - General PracticePractitioner - Family Practice 6709943566 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice, General Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2009 Warm Springs Rd
Columbus, GA 31904-7931
Phone (706) 320-0055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
GA045309GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Medical Associates of Columbus, Inc. Internal Medicine CurrentSince Jan 1, 1999 Accepting new patients
Columbus Physical Medicine Center, Inc. CurrentSince Feb 6, 2014 Accepting new patients
Internal Medicine Education and Research Foundation Past Accepting new patients
Anthony Vincent Ditaranto MD JD PC Past Accepting new patients
Internal Medicine Education & Research Foundation of Columbus, Inc Past Accepting new patients
Columbus Joint Pain Solutions and Functional Medicine, LLC PastSince Feb 25, 2024 Accepting new patients
Britton-Bo LLC PastSince Mar 31, 2024 Accepting new patients

Locations

118 Enterprise Ct
Ste B
Columbus, GA 31904
Phone (706) 225-7008

2009 Warm Springs Rd
Columbus, GA 31904
Phone (706) 320-0055

5995 Spring St
Warm Springs, GA 31830
Phone (706) 632-4374

5995 Spring St
Bldg 2
Warm Springs, GA 31830

Interoperability endpoints

  • Direct secure messaging: anthony.olofintuyi@direct.meditouchehr.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/AACJDD/Endpoint/AACJDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHCFAD/Endpoint/IHCFAD

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1144384827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 ROCKY SHOALS DR",
            "city": "MIDLAND",
            "state": "GA",
            "postal_code": "318204817",
            "telephone_number": "706-569-1568",
            "fax_number": "706-576-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 WARM SPRINGS RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319047931",
            "telephone_number": "706-320-0055",
            "fax_number": "706-576-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLOFINTUYI",
        "first_name": "ANTHONY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "GA045309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00802986B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00802986E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.