Organization Active NPI

KMC Family Care PC

  • Family Medicine Physician
  • Columbus, GA
National Provider Identifier
1306545975
Registry record updated Apr 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
KMC FAMILY CARE PC
Practice address
7500 Veterans Pkwy Ste F
Columbus, GA 31909-2525
Phone
(601) 562-7212
NPI assigned
Mar 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2023

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

Authorized official

Name
Sunil Kumar, MDNPI 1881991743
Title
Owner
Phone
(601) 562-7212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

7500 Veterans Pkwy Ste F
Columbus, GA 31909-2525

Mailing address

7500 Veterans Pkwy Ste F
Columbus, GA 31909-2525
Phone (706) 221-2045

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230526000803 GA Part B Supplier - Clinic/Group Practice 5991162497 Receives reassigned benefits from 5 practitioners
Practice locations: Columbus, GA

National Provider Directory

National Provider Directory

Locations

7500 Veterans Pkwy
Ste F
Columbus, GA 31909
Phone (706) 221-2045

1242 Broadway
Columbus, GA 31901

Practitioners & affiliated clinicians

Practitioners 6

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": "1677715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681603200000",
    "number": "1306545975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 VETERANS PKWY STE F",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319092525",
            "telephone_number": "706-221-2045",
            "fax_number": "706-221-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 VETERANS PKWY STE F",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319092525",
            "telephone_number": "601-562-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMC FAMILY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-02",
        "last_updated": "2023-04-16",
        "certification_date": "2023-04-16",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-562-7212",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "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 16, 2023; 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.