Denise Michelle Averett, CEO
Individual provider Active NPI Contractor · Columbus, GA
NPI 1366089773 · NPPES record last updated Dec 4, 2019
Key facts
- NPI
- 1366089773
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 5401 Gunboat Dr Ste 33
Columbus, GA 31907-1498 - Phone
- (706) 888-0155
- NPI assigned
- Dec 4, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
5401 Gunboat Dr Ste 33
Columbus, GA 31907-1498
Mailing address
5401 Gunboat Dr Ste 33
Columbus, GA 31907-1498
Phone (706) 888-0155
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | services.of.columbusga@gmail.com | Direct |
Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.