Active NPI
Edward Allen Hairston
- Physician Assistant
- Columbus, GA
National Provider Identifier
1235276890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 2737 Warm Springs Rd
Columbus, GA 31904-6859 - Phone
- (706) 653-2255
- Fax
- (706) 653-2329
- NPI assigned
- Jan 31, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
2737 Warm Springs Rd
Columbus, GA 31904-6859
Mailing address
4519 Woodruff Rd
Suite 4 PMB 349
Columbus, GA 31904-6011
Phone (706) 653-2255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367366400000",
"number": "1235276890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4519 WOODRUFF RD",
"address_2": "SUITE 4 PMB 349",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319046011",
"telephone_number": "706-653-2255",
"fax_number": "706-653-2329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2737 WARM SPRINGS RD",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319046859",
"telephone_number": "706-653-2255",
"fax_number": "706-653-2329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAIRSTON",
"first_name": "EDWARD",
"middle_name": "ALLEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2013-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.