Organization Active NPI

Rice & Lake Urology LLP

  • Family Nurse Practitioner
  • Columbus, GA
National Provider Identifier
1255828828
Registry record updated Apr 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN224459 Issued in GA
Legal business name
RICE & LAKE UROLOGY LLP
Practice address
1900 10TH Avenue
Suite 310
Columbus, GA 31904
Phone
(706) 323-0990
Fax
(706) 320-0209
NPI assigned
Apr 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2018

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

Authorized official

Name
Mr. Samuel Ted Rice, MD
Title
Owner/MD
Phone
(706) 323-0990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X RN224459 GA Primary

Addresses

Primary practice location

1900 10TH Avenue
Suite 310
Columbus, GA 31904

Mailing address

PO Box 4539
Columbus, GA 31914
Phone (706) 323-0990

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524009600000",
    "number": "1255828828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4539",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "31914",
            "telephone_number": "706-323-0990",
            "fax_number": "706-320-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 10TH AVENUE",
            "address_2": "SUITE 310",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "31904",
            "telephone_number": "706-323-0990",
            "fax_number": "706-320-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICE & LAKE UROLOGY LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-18",
        "last_updated": "2018-04-18",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "TED",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "706-323-0990",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN224459",
            "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 Apr 18, 2018; 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.