Individual provider Active NPI

Jorge Pabia

  • Physical Therapist
  • Columbus, GA
National Provider Identifier
1316016298
Registry record updated Dec 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
100 Southern Way Ste 200
Columbus, GA 31904-9204
Phone
(706) 324-1934
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

100 Southern Way Ste 200
Columbus, GA 31904-9204

Mailing address

2007 Landau Dr
Phenix City, AL 36867-2121
Phone (334) 487-7472

Other identifiers 1

IdentifierTypeStateIssuer
005108OtherGALICENSE#

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140312000866 GA Practitioner - Physical Therapist in Private Practice 7911071881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Georgia Regenerative Medicine LLCGroup PAC ID 6507116589, 2 clinicians

Practice addresses (Care Compare)

3624 Edgewood Rd
Suite B
Columbus, GA 31907-8238
Phone (762) 441-0330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
West Georgia Regenerative Medicine LLC Physical Therapist CurrentSince Sep 1, 2018 Accepting new patients

Locations

3624 Edgewood Rd
Ste B
Columbus, GA 31907
Phone (706) 615-4863

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386115200000",
    "number": "1316016298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 LANDAU DR",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368672121",
            "telephone_number": "334-487-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SOUTHERN WAY STE 200",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049204",
            "telephone_number": "706-324-1934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PABIA",
        "first_name": "JORGE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2013-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE#",
            "identifier": "005108",
            "state": "GA"
        }
    ],
    "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 Dec 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.