NPIMap

Individual provider Active NPI

Joshua S Samraj, MD

  • Internal Medicine Physician
  • Columbus, GA
National Provider Identifier
1215047014
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
046322 Issued in GA
Practice address
2000 12TH Ave
Columbus, GA 31901-1638
Phone
(706) 653-2226
Fax
(706) 653-2228
NPI assigned
Aug 30, 2006
Last updated
Mar 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 046322 GA Primary

Addresses

Primary practice location

2000 12TH Ave
Columbus, GA 31901-1638

Mailing address

2000 12TH Ave
Columbus, GA 31901-1638
Phone (706) 653-2226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180726002953 GA Practitioner - Internal Medicine 9335185438 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2000 12TH Ave
Columbus, GA 31901-1638
Phone (706) 653-2226

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
046322GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Mar 1, 2018 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. Internal Medicine CurrentSince Mar 1, 2018 Accepting new patients
Internal Medicine Education and Research Foundation Past Accepting new patients
Internal Medicine Education & Research Foundation of Columbus, Inc Past Accepting new patients

Locations

1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120

2737 Warm Springs Rd
Ste B
Columbus, GA 31904
Phone (706) 576-5149

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

710 Center St
#81
Columbus, GA 31901
Phone (706) 571-1527

Interoperability endpoints

  • Direct secure messaging: joshua.samraj.1@21784.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1215047014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 12TH AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011638",
            "telephone_number": "706-653-2226",
            "fax_number": "706-653-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 12TH AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011638",
            "telephone_number": "706-653-2226",
            "fax_number": "706-653-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMRAJ",
        "first_name": "JOSHUA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "046322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.