Columbus Surgical Specialists, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

063806 Issued in GA

Legal business name

COLUMBUS SURGICAL SPECIALISTS, LLC

Practice address

1900 10TH Ave
Ste 201
Columbus, GA 31901-3602

Phone

(706) 984-7400

NPI assigned

Nov 30, 2015

Organization subpart

No

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

Authorized official

Name

William Taylor, MDNPI 1659446326

Title

President

Phone

(706) 984-7400

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12736/brand/1/csg/1/fhir/r4

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William E Taylor, MD

  • Colon & Rectal Surgery Physician
  • Columbus, GA
  • NPI 1659446326
  Medicare reassignment Care Compare group NPD Authorized official
• Carmen Elizabeth Lee, MD

  • Surgery Physician
  • Columbus, GA
  • NPI 1912330598
  Medicare reassignment Care Compare group NPD
• William Dolan Mitchell

  • Surgery Physician
  • Columbus, GA
  • NPI 1093362972

  Single Specialty

  Medicare reassignment Care Compare group NPD
• George W Mize III, MD

  • Surgery Physician
  • Columbus, GA
  • NPI 1457714602
  Medicare reassignment Care Compare group NPD
• Seaborn A Roddenbery V, MD

  • Surgery Physician
  • Columbus, GA
  • NPI 1861683989
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1448841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1326412420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 10TH AVE",
            "address_2": "STE 201",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319013602",
            "telephone_number": "706-984-7400",
            "fax_number": "706-984-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 10TH AVE",
            "address_2": "STE 201",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319013602",
            "telephone_number": "706-984-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS SURGICAL SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-30",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-984-7400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "GA",
            "license": "063806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "202G705233",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Columbus Speech & Hearing Center
• Columbus Spine and Performance Center, LLC
• Columbus State University
• Columbus State University
• Columbus State University
• Columbus Urology,PC
• Columbus Vascular Center, LLC
• Tanika Townson-Smith Colvin, ATC
• Combat Footgear Inc.
• Shatasha Anese Combs, CLIENT SUPPORT WORKE

• Surgery Physician in Columbus, GA
• Providers in Columbus, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.