Organization Active NPI

George P. Tkalych, M.D. P.C.

  • Otolaryngology Physician
  • Columbus, GA
National Provider Identifier
1336408608
Registry record updated May 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
022480 Issued in GA
Legal business name
GEORGE P. TKALYCH, M.D. P.C.
Practice address
1900 10TH Avenue
Suite 201
Columbus, GA 31901-3600
Phone
(706) 596-1327
Fax
(706) 546-1327
NPI assigned
May 8, 2012
Last updated
May 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2012

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

Authorized official

Name
George Paul Tkalych, M.D., PCNPI 1942303102
Title
Medical Doctor / President
Phone
(706) 546-1327

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
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 022480 GA Primary

Addresses

Primary practice location

1900 10TH Avenue
Suite 201
Columbus, GA 31901-3600

Mailing address

1900 10TH Avenue
Suite 201
Columbus, GA 31901-3600
Phone (706) 596-1327

Other identifiers 1

IdentifierTypeStateIssuer
100222329AMedicaidGA

National Provider Directory

National Provider Directory

Locations

1900 10th Ave
Ste 201
Columbus, GA 31901
Phone (706) 596-1327

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336435200000",
    "number": "1336408608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 10TH AVENUE",
            "address_2": "SUITE 201",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319013600",
            "telephone_number": "706-596-1327",
            "fax_number": "706-320-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 10TH AVENUE",
            "address_2": "SUITE 201",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319013600",
            "telephone_number": "706-596-1327",
            "fax_number": "706-546-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE P. TKALYCH, M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-08",
        "last_updated": "2012-05-08",
        "status": "A",
        "authorized_official_last_name": "TKALYCH",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "MEDICAL DOCTOR / PRESIDENT",
        "authorized_official_telephone_number": "706-546-1327",
        "authorized_official_credential": "M.D., PC"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "022480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100222329A",
            "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 May 8, 2012; 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.