NPIMap

Individual provider Active NPI

Juan Ayerdi, MD

  • Vascular Surgery Physician
  • Columbus, GA
National Provider Identifier
1275518326
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
057278 Issued in GA
Practice address
1920 Warm Springs Rd
Ste 1009
Columbus, GA 31904-8031
Phone
(706) 596-8200
Fax
(706) 571-0207
NPI assigned
Dec 13, 2005
Last updated
Nov 30, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 057278 GA Primary

Addresses

Primary practice location

1920 Warm Springs Rd
Ste 1009
Columbus, GA 31904-8031

Mailing address

1920 Warm Springs Rd
Columbus, GA 31904-8031
Phone (706) 596-8200

Other identifiers 3

IdentifierTypeStateIssuer
202I770724OtherGAMEDICARE PTAN
382093991IMedicaidGA
160318MedicaidAL

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
I20060307000667 GA Practitioner - Vascular SurgeryPractitioner - General Surgery 1254348899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
River City Vascular Specialists LLCGroup PAC ID 1557646494, 2 clinicians

Practice addresses (Care Compare)

1920 Warm Springs Rd
Columbus, GA 31904-8031
Phone (706) 984-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.88 of 100Reported as group
Quality
94.45
Promoting interoperability
100
Improvement activities
40
Cost
85.15

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Varicose vein removal1-10
Leg revascularization (restoring blood flow)34
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
River City Vascular Specialists LLC CurrentSince Jan 2, 2017 Accepting new patients
Russell County Community Hospital LLC Past Accepting new patients
St Francis Health LLC Past Accepting new patients
Guardian Medical Services, LLC PastSince Jan 2, 2017 Accepting new patients
Central Georiga Fertility Institute Past Accepting new patients

Locations

1920 Warm Springs Rd
Columbus, GA 31904
Phone (706) 984-7000

1920 Warm Springs Rd
Ste 1009
Columbus, GA 31904
Phone (706) 596-8200

Interoperability endpoints

  • Direct secure messaging: j.ayerdi@rivercityvascular.directbygreenway.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 5

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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1275518326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 WARM SPRINGS RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048031",
            "telephone_number": "706-596-8200",
            "fax_number": "706-571-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 WARM SPRINGS RD",
            "address_2": "STE 1009",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048031",
            "telephone_number": "706-596-8200",
            "fax_number": "706-571-0207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYERDI",
        "first_name": "JUAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "GA",
            "license": "057278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "202I770724",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "382093991I",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160318",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.