Active NPI
Illumia Health, LLC
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Columbus, OH
National Provider Identifier
1194526772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Legal business name
- ILLUMIA HEALTH, LLC
- Practice address
- 90 W Broad St
Columbus, OH 43215-9000 - Phone
- (704) 664-2876
- Fax
- (704) 230-0946
- NPI assigned
- Mar 20, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janet L. Combs
- Title
- VP of Licensure
- Phone
- (704) 662-1761
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | Primary |
Addresses
Primary practice location
90 W Broad St
Columbus, OH 43215-9000
Mailing address
PO Box 4060
Mooresville, NC 28117-4060
Phone (704) 664-2876
National Provider Directory
National Provider Directory- Tax ID family
- Illumia Health LLC
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Akron, OH
- NPI 1740024397
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Maumee, OH
- NPI 1801693866
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Clinton Township, MI
- NPI 1881432060
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- White Bear Lake, MN
- NPI 1972316289
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Jacksonville, FL
- NPI 1972341147
Locations
90 W Broad St
Columbus, OH 43215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747353600000",
"number": "1194526772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4060",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281174060",
"telephone_number": "704-664-2876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 W BROAD ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432159000",
"telephone_number": "704-664-2876",
"fax_number": "704-230-0946"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ILLUMIA HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-20",
"last_updated": "2025-05-16",
"certification_date": "2025-05-16",
"status": "A",
"authorized_official_last_name": "COMBS",
"authorized_official_first_name": "JANET",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "VP OF LICENSURE",
"authorized_official_telephone_number": "704-662-1761"
},
"taxonomies": [
{
"code": "207RH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.