NPIMap

Organization Active NPI

Sec2

  • Interventional Cardiology Physician
  • Columbus, GA
National Provider Identifier
1285244137
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
SEC2
Practice address
2121 Warm Springs Rd
Columbus, GA 31904-7955
Phone
(706) 221-6116
Fax
(706) 221-6226
NPI assigned
Aug 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Authorized official

Name
Christie Day
Title
Billing Manager
Phone
(706) 221-6116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X Primary

Addresses

Primary practice location

2121 Warm Springs Rd
Columbus, GA 31904-7955

Mailing address

PO Box 7067
Columbus, GA 31908-7067
Phone (706) 221-6116

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Columbus

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201103001443 GA Part B Supplier - Clinic/Group Practice 2062822075 Receives reassigned benefits from 2 practitioners
Practice locations: Columbus, GA

National Provider Directory

National Provider Directory

Locations

2121 Warm Springs Rd
Columbus, GA 31904
Phone (706) 243-4500

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596585600000",
    "number": "1285244137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7067",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319087067",
            "telephone_number": "706-221-6116",
            "fax_number": "706-221-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 WARM SPRINGS RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319047955",
            "telephone_number": "706-221-6116",
            "fax_number": "706-221-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEC2",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A",
        "authorized_official_last_name": "DAY",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "706-221-6116"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Columbus",
            "affiliation": "N",
            "address_1": "2121 Warm Springs Rd",
            "city": "Columbus",
            "state": "GA",
            "country_code": "US",
            "postal_code": "319047955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.