Organization Active NPI

Pediatric Associates of Columbus

  • Pediatrics Physician
  • Columbus, GA
National Provider Identifier
1154418630
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PEDIATRIC ASSOCIATES OF COLUMBUS
Practice address
705 17TH St
Suite 107
Columbus, GA 31901-3500
Phone
(706) 571-1665
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

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

Authorized official

Name
Linda Jordan
Title
Office Manager
Phone
(706) 660-2690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

705 17TH St
Suite 107
Columbus, GA 31901-3500

Mailing address

PO Box 1038
Columbus, GA 31902-1038
Phone (706) 660-6410

Other names 1

  • Pediatric After Hours Doing business as

National Provider Directory

National Provider Directory

Locations

705 17th St
Ste 107
Columbus, GA 31901
Phone (706) 571-1665

3400 Riverside Dr
Macon, GA 31210
Phone (478) 474-5600

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457568000000",
    "number": "1154418630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1038",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319021038",
            "telephone_number": "706-660-6410",
            "fax_number": "706-660-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 17TH ST",
            "address_2": "SUITE 107",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319013500",
            "telephone_number": "706-571-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES OF COLUMBUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2016-03-10",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "706-660-2690"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric After Hours",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 10, 2016; 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.