NPIMap

Individual provider Active NPI

Shabbir Motiwala, MD

  • Family Medicine Physician
  • Columbus, GA
National Provider Identifier
1306820253
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36581 Issued in GA
Practice address
4000 Saint Marys Rd
Columbus, GA 31907-6258
Phone
(706) 685-2770
Fax
(706) 685-3299
NPI assigned
Dec 5, 2005
Last updated
Mar 26, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 36581 GA Primary

Addresses

Primary practice location

4000 Saint Marys Rd
Columbus, GA 31907-6258

Mailing address

4000 Saint Marys Rd
Columbus, GA 31907-6258
Phone (706) 660-8505

Other identifiers 1

IdentifierTypeStateIssuer
P00166219OtherRAILROAD MEDICARE

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
I20040701000918 GA Practitioner - Family Practice 2567449176 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southern Regional Physicians Management Group, LLCGroup PAC ID 9032491956, 27 clinicians

Practice addresses (Care Compare)

11 Upper Riverdale Rd SW
Women's Center
Riverdale, GA 30274-2615
Phone (770) 991-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Regional Physicians Management Group, LLC CurrentSince Sep 1, 2025 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. Family Medicine CurrentSince Feb 1, 2020 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. Family Medicine CurrentSince Feb 1, 2020 Accepting new patients
St Francis Affiliated Services LLC CurrentSince May 13, 2019 Accepting new patients
St Francis Affiliated Services LLC Family Medicine Current Accepting new patients
Internal Medicine Education and Research Foundation Past Accepting new patients
Internal Medicine Education & Research Foundation of Columbus, Inc Past Accepting new patients
Sterling Emergency Services of the Southeast Inc Past Accepting new patients

Locations

1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120

3465 Macon Rd
Ste D
Columbus, GA 31907
Phone (706) 243-3051

616 19th St
Columbus, GA 31901
Phone (706) 494-4262

6801 River Rd
Ste 101
Columbus, GA 31904
Phone (706) 320-8625

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

710 Center St
#81
Columbus, GA 31901
Phone (706) 571-1527

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Organizations & group practices 9

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 2

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": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206489600000",
    "number": "1306820253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 SAINT MARYS RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319076258",
            "telephone_number": "706-660-8505",
            "fax_number": "706-660-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 SAINT MARYS RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319076258",
            "telephone_number": "706-685-2770",
            "fax_number": "706-685-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTIWALA",
        "first_name": "SHABBIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2008-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "36581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00166219",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.