Active NPI
Jose' F. Rivera
- Nurse Practitioner
- Columbus, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN088485
- Practice address
- 610 19TH St
Columbus, GA 31901-1528 - Phone
- (706) 322-7884
- Fax
- (706) 660-2143
- NPI assigned
- Jul 11, 2006
- Last updated
- May 6, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN088485 | GA | Primary |
Addresses
Primary practice location
610 19TH St
Columbus, GA 31901-1528
Mailing address
PO Box 9247
Columbus, GA 31908-9247
Phone (706) 322-7884
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 165684204A | Medicaid | GA | |
| 417123182C | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mac - Macon Road LLC | Current | Accepting new patients | |
| St Francis Affiliated Services LLC | Nurse Practitioner | Current | Accepting new patients |
| Columbus Clinic, P.C. | Current | Accepting new patients | |
| St. Francis Psychiatrist ,LLC | Current | Accepting new patients | |
| St Francis Affiliated Services LLC | Current | Accepting new patients | |
| St Francis Affiliated Services LLC | Nurse Practitioner | Current | Accepting new patients |
| Informed Care Solutions, Inc | Past | Accepting new patients |
Locations
3465 Macon Rd
Ste D
Columbus, GA 31907
Phone (706) 243-3051
610 19th St
Columbus, GA 31901
Phone (706) 322-7884
705 17th St
Columbus, GA 31901
Phone (706) 243-4404
Interoperability endpoints
- jose.rivera@gadirect.net
- jose.rivera@sfhga.gadirect.net
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.
-
- Clinic/Center
- Columbus, GA
- NPI 1609863133
-
- Clinic/Center
- Columbus, GA
- NPI 1053599043
-
dba St. Francis Columbus Specialty Clinic
- Internal Medicine Physician
- Columbus, GA
- NPI 1598130932
Nurse Practitioner
-
dba Midtown Acute Care
- Urgent Care Clinic/Center
- Columbus, GA
- NPI 1821462136
-
dba St Francis Columbus Clinic
- Family Medicine Physician
- Columbus, GA
- NPI 1912371220
Nurse Practitioner
-
- Psychiatry Physician
- Columbus, GA
- NPI 1619129541
-
dba Informed Care Inc
- Family Medicine Physician
- Columbus, GA
- NPI 1417146408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430870400000",
"number": "1184659195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9247",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319089247",
"telephone_number": "706-322-7884",
"fax_number": "706-243-4356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 19TH ST",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319011528",
"telephone_number": "706-322-7884",
"fax_number": "706-660-2143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "JOSE'",
"middle_name": "F.",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2015-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN088485",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "165684204A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "417123182C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, GA
- River Valley Regional Commission
- Jose J. Rivera-Melendez, M.D.
- Bianca N Rivera-Ramirez, PHARMD
- Barbara Rivera
- Iris Rivera, RBT
- Riverchase Internal Medicine and Urgent Care P.C.
- Rivercity Rehabilitation and Spine Specialists, P.C. (River City Rehabilitation & Spine Specialist, P.C.)
- Rivercity Rehabilitation and Spine Specialists, P.C.
- Lashonta Rivers
- Latonia Rivers
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.