Pediatric Acute Care of Columbus, P.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

058161 Issued in GA

Legal business name

PEDIATRIC ACUTE CARE OF COLUMBUS, P.C.

Practice address

5555 Whittlesey Blvd
Suite L-1
Columbus, GA 31909

Phone

(706) 615-4736

NPI assigned

Aug 18, 2009

Organization subpart

No

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

Authorized official

Name

Shane B Darrah, M.D.

Title

Ceo/President

Phone

(706) 615-4736

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250553600000",
    "number": "1295967602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1106",
            "city": "FORTSON",
            "state": "GA",
            "postal_code": "318081106",
            "telephone_number": "706-615-4736",
            "fax_number": "706-478-0498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 WHITTLESEY BLVD",
            "address_2": "SUITE L-1",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "31909",
            "telephone_number": "706-615-4736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ACUTE CARE OF COLUMBUS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2009-08-18",
        "status": "A",
        "authorized_official_last_name": "DARRAH",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "706-615-4736",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "058161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Pearson, CNNP
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• Ram R Peddada, M.D., D.SC.
• Pediatria Healthcare, LLC
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• Pediatric Associates of Columbus
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• Pediatric Partners of Columbus PC
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• Pediatrics Physician in Columbus, GA
• Providers in Columbus, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; 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.