Organization Active NPI

Occupational Medicine of Columbus

  • Legal Medicine
  • Columbus, GA
National Provider Identifier
1205967312
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
028079 Issued in GA
Legal business name
OCCUPATIONAL MEDICINE OF COLUMBUS
Practice address
7301 N Lake Dr
Columbus, GA 31909-2788
Phone
(706) 221-1600
Fax
(706) 221-1605
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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

Authorized official

Name
Charlene Thomas
Title
Assistant Office Manager
Phone
(706) 221-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193200000X MULTI-SPECIALTY GROUP 173000000X 028079 GA Primary

Addresses

Primary practice location

7301 N Lake Dr
Columbus, GA 31909-2788

Mailing address

7301 N Lake Dr
Columbus, GA 31909-2788
Phone (706) 221-1600

Other identifiers 1

IdentifierTypeStateIssuer
028079OtherGALICENSE #

National Provider Directory

National Provider Directory

Locations

7301 North Lake Dr
Columbus, GA 31909
Phone (706) 221-1600

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": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1205967312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 N LAKE DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319092788",
            "telephone_number": "706-221-1600",
            "fax_number": "706-221-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 N LAKE DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319092788",
            "telephone_number": "706-221-1600",
            "fax_number": "706-221-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUPATIONAL MEDICINE OF COLUMBUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "ASSISTANT OFFICE MANAGER",
        "authorized_official_telephone_number": "706-221-1600"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "GA",
            "license": "028079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "028079",
            "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 Feb 22, 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.