Organization Active NPI

The Columbus Orthopaedic Clinic, P.a.

  • Durable Medical Equipment & Medical Supplies
  • Starkville, MS
National Provider Identifier
1356855852
Registry record updated May 9, 2022
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
225 Tomlinson Dr
Starkville, MS 39759-7734
Phone
(662) 498-1240
Fax
(662) 338-9490
NPI assigned
Nov 21, 2017
Organization subpart
Yes
Parent organization
THE COLUMBUS ORTHOPAEDIC CLINIC, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

225 Tomlinson Dr
Starkville, MS 39759-7734

Mailing address

225 Tomlinson Dr
Starkville, MS 39759-7734
Phone (662) 498-1240

Other names 1

  • The Columbus Orthopaedic Clinic, PA Former legal business name

National Provider Directory

National Provider Directory
Part of
Columbus Orthopaedic CL

Locations

2024 15th St
Ste N
Meridian, MS 39301

225 Tomlinson Dr
Starkville, MS 39759
Phone (662) 328-1012

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.

Practitioners & affiliated clinicians

Practitioners 37

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

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652054400000",
    "number": "1356855852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 TOMLINSON DR",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397597734",
            "telephone_number": "662-498-1240",
            "fax_number": "662-338-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 TOMLINSON DR",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397597734",
            "telephone_number": "662-498-1240",
            "fax_number": "662-338-9490"
        }
    ],
    "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": "2017-11-21",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "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 Starkville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.