Organization Active NPI

Pathway Healthcare- Columbus, Ms LLC

  • Addiction Medicine (Family Medicine) Physician
  • Columbus, MS
National Provider Identifier
1336656628
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
PATHWAY HEALTHCARE- COLUMBUS, MS LLC
Practice address
3600 Bluecutt Rd Ste 200
Columbus, MS 39705-1303
Phone
(844) 728-4929
NPI assigned
Jan 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Authorized official

Name
Melissa Cox
Title
Credentialing
Phone
(205) 208-9312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X Primary

Addresses

Primary practice location

3600 Bluecutt Rd Ste 200
Columbus, MS 39705-1303

Mailing address

1000 Urban Center Dr Ste 600
Vestavia, AL 35242-2584
Phone (205) 208-9312

National Provider Directory

National Provider Directory

Locations

3600 Bluecutt Rd
Ste 200
Columbus, MS 39705
Phone (844) 728-4929

NPI Registry JSON

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590624000000",
    "number": "1336656628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 URBAN CENTER DR STE 600",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352422584",
            "telephone_number": "205-208-9312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 BLUECUTT RD STE 200",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397051303",
            "telephone_number": "844-728-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY HEALTHCARE- COLUMBUS, MS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-08",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "205-208-9312"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.