Organization Active NPI

Rivercity Rehabilitation and Spine Specialists, P.C.

  • Non-Pharmacy Dispensing Site
  • Columbus, GA
National Provider Identifier
1194287060
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
RIVERCITY REHABILITATION AND SPINE SPECIALISTS, P.C.
Practice address
2300 13TH St Apt a
Columbus, GA 31906-2182
Phone
(706) 243-7010
Fax
(706) 243-7019
NPI assigned
Apr 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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

Authorized official

Name
Dr. Gary N Dawson, MDNPI 1841371499
Title
Ceo
Phone
(706) 243-7010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

2300 13TH St Apt a
Columbus, GA 31906-2182

Mailing address

2300 13TH St Apt a
Columbus, GA 31906-2182
Phone (706) 243-7010

Other names 1

  • River City Rehabilitation & Spine Specialist, P.C. Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D1096870River City Rehabilitation & Spine Specialists2300 13TH Street, Suite a, Columbus, GA 31906ComplianceSep 11, 2027

National Provider Directory

National Provider Directory
Tax ID family
River City Rehab Spine Specialist2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554076800000",
    "number": "1194287060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 13TH ST APT A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319062182",
            "telephone_number": "706-243-7010",
            "fax_number": "706-243-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 13TH ST APT A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319062182",
            "telephone_number": "706-243-7010",
            "fax_number": "706-243-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERCITY REHABILITATION AND SPINE SPECIALISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-01",
        "last_updated": "2019-04-01",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-243-7010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River City Rehabilitation & Spine Specialist, P.C.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "River City Rehabilitation & Spine Specialist, P.C.",
            "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 Apr 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.