NPIMap

Individual provider Active NPI

Susanna Swisher Ulmer

  • Family Medicine Physician
  • Columbus, GA
National Provider Identifier
1285261206
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
92526 Issued in GA
Practice address
106 Enterprise CT Ste a
Columbus, GA 31904-9096
Phone
(706) 321-2555
NPI assigned
Mar 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 92526 GA Primary

Addresses

Primary practice location

106 Enterprise CT Ste a
Columbus, GA 31904-9096

Mailing address

1900 10TH Ave Ste 100
Columbus, GA 31901-3601

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
I20230721000966 GA Practitioner - Family Practice 3577981893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizons Diagnostics, L.L.C.Group PAC ID 1951399724, 24 clinicians

Practice addresses (Care Compare)

106 Enterprise CT
Suite a
Columbus, GA 31904-9096
Phone (706) 321-2555

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Columbus, GA, CCN 117306
  • Columbus Hospice, Inc. Hospice, Columbus, GA, CCN 111512
  • Columbus Hospice of Alabama Hospice, Phenix City, AL, CCN 011612
  • Piedmont Columbus Regional Midtown Hospital, Columbus, GA, CCN 110064
  • St Francis Hospital- Emory Healthcare Hospital, Columbus, GA, CCN 110129

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
92526GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Horizons Diagnostics, L.L.C. CurrentSince Aug 1, 2023 Accepting new patients
Horizons Diagnostics, L.L.C. Family Medicine CurrentSince Aug 1, 2023 Accepting new patients

Locations

106 Enterprise Ct
Ste A
Columbus, GA 31904
Phone (706) 321-2555

106 Enterprise Ct
Ste C
Columbus, GA 31904
Phone (706) 221-6448

3934 Woodruff Rd
Columbus, GA 31904
Phone (706) 321-0476

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDJDBA
  • Direct secure messaging: susanna.ulmer@hdl.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Columbus Hospice, IncColumbus, GA, CCN 111512 Hospice W-2 Managing Employee Jun 1, 2024
Columbus Hospice of AlabamaPhenix City, AL, CCN 011612 Hospice W-2 Managing Employee Jun 1, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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 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": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1285261206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 10TH AVE STE 100",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319013601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 ENTERPRISE CT STE A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049096",
            "telephone_number": "706-321-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULMER",
        "first_name": "SUSANNA",
        "middle_name": "SWISHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "92526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.