Individual provider Active NPI

Jonathan Charles Levin, DO

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Columbus, GA
National Provider Identifier
1144750522
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
License
114717 Issued in GA
Practice address
3744 Woodruff Rd Ste 3728
Columbus, GA 31904-5601
Phone
(706) 686-0606
NPI assigned
Jun 18, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Military Health Care Provider 171000000X 02006642A IN
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X 114717 GA Primary
Military Health Care Provider 171000000X

Addresses

Primary practice location

3744 Woodruff Rd Ste 3728
Columbus, GA 31904-5601

Mailing address

5224 75TH St Ste D
Lubbock, TX 79424-2525
Phone (806) 712-1096

Other practice location 1

2000 Palmyra Rd Fl 3
Albany, GA 31701-1528
Phone (229) 789-6120

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
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
02006642AINMDMilitary Health Care Provider

NPI Registry JSON

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1144750522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5224 75TH ST STE D",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242525",
            "telephone_number": "806-712-1096",
            "fax_number": "806-771-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3744 WOODRUFF RD STE 3728",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319045601",
            "telephone_number": "706-686-0606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Palmyra Rd Fl 3",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "GA",
            "postal_code": "317011528",
            "country_code": "US",
            "telephone_number": "229-789-6120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "JONATHAN",
        "middle_name": "CHARLES",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-18",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "IN",
            "license": "02006642A",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "GA",
            "license": "114717",
            "primary": true
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Sep 8, 2026; 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.