NPIMap

Organization Active NPI

The Columbus Orthopaedic Clinic, P.a.

  • Durable Medical Equipment & Medical Supplies
  • Louisville, MS
National Provider Identifier
1336917244
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
THE COLUMBUS ORTHOPAEDIC CLINIC, P.A.
Practice address
17540 E Main St
Louisville, MS 39339-2772
Phone
(662) 328-1012
NPI assigned
Dec 20, 2023
Last updated
Dec 20, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
THE COLUMBUS ORTHOPAEDIC CLINIC, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Authorized official

Name
Tammy J Gavin
Title
Credentialing
Phone
(662) 370-1014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

17540 E Main St
Louisville, MS 39339-2772

Mailing address

17540 E Main St
Louisville, MS 39339-2772
Phone (662) 328-1012

Other names 1

  • The Columbus Orthopaedic Clinic, PA Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Columbus Orthopaedic CL5 organizations share this tax ID, including this one
Part of
Columbus Orthopaedic CL

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1336917244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17540 E MAIN ST",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "393392772",
            "telephone_number": "662-328-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17540 E MAIN ST",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "393392772",
            "telephone_number": "662-328-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COLUMBUS ORTHOPAEDIC CLINIC, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE COLUMBUS ORTHOPAEDIC CLINIC, P.A.",
        "enumeration_date": "2023-12-20",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "GAVIN",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "662-370-1014"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Columbus Orthopaedic Clinic, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Louisville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.