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
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

Other identifiers 4

IdentifierTypeStateIssuer
000880558CMedicaidGA
200678941OtherGATRICARE PROVIDER NUMBER
900226966OtherGARAILROAD MEDICARE NUMBER
923658OtherGABCBS GEORGIA PIN NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
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

  • Centerwell Home Health Home health agency, Columbus, GA, CCN 117056
  • Prohealth Home Health Home health agency, Auburn, AL, CCN 017063
  • Prohealth Home Health-Georgia, LLC Home health agency, Columbus, GA, CCN 117140
  • Enhabit Home Health Home health agency, Columbus, GA, CCN 117306
  • Centerwell Home Health Home health agency, Phenix City, AL, CCN 017307
  • Piedmont Columbus Regional Midtown Hospital, Columbus, GA, CCN 110064
  • Piedmont Columbus Regional Northside Hospital, Columbus, GA, CCN 110200
  • St Francis Hospital- Emory Healthcare Hospital, Columbus, GA, CCN 110129

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Ambulatory Healthcare Services, Inc. Internal Medicine CurrentSince Mar 1, 2018 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. 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

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

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

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

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

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 and National Provider Directory roles.

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000880558C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE PROVIDER NUMBER",
            "identifier": "200678941",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "900226966",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GEORGIA PIN NUMBER",
            "identifier": "923658",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.