Organization Active NPI

Columbus Gynecology Oncology Management Services, LLC

  • Gynecologic Oncology Physician
  • Columbus, GA
National Provider Identifier
1184051104
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
Legal business name
COLUMBUS GYNECOLOGY ONCOLOGY MANAGEMENT SERVICES, LLC
Practice address
2300 Manchester Expy
Ste C001
Columbus, GA 31904-6877
Phone
(706) 243-4594
Fax
(706) 243-4596
NPI assigned
Oct 4, 2013
Last updated
Apr 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

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

Authorized official

Name
Mr. Greg S. Hembree
Title
Cfo/SVP
Phone
(706) 320-3751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X NU Primary

Addresses

Primary practice location

2300 Manchester Expy
Ste C001
Columbus, GA 31904-6877

Mailing address

PO Box 8668
Columbus, GA 31908-8668
Phone (706) 243-4594

Other identifiers 2

IdentifierTypeStateIssuer
154942MedicaidAL
003140383AMedicaidGA

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2300 Manchester Expy
Ste C001
Columbus, GA 31904
Phone (706) 243-4594

Interoperability endpoints

  • Direct secure messaging: dell.renee.griner@gadirect.net
  • Direct secure messaging: gregory.sfakianos@gadirect.net

NPI Registry JSON

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1184051104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8668",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319088668",
            "telephone_number": "706-243-4594",
            "fax_number": "706-243-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 MANCHESTER EXPY",
            "address_2": "STE C001",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046877",
            "telephone_number": "706-243-4594",
            "fax_number": "706-243-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS GYNECOLOGY ONCOLOGY MANAGEMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-04",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "HEMBREE",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CFO/SVP",
        "authorized_official_telephone_number": "706-320-3751",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154942",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003140383A",
            "state": "GA"
        }
    ],
    "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 27, 2015; 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.