Active NPI
Nitin R Desai MD PC
- Internal Medicine Physician
- Columbus, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 042810
- Legal business name
- NITIN R DESAI MD PC
- Practice address
- 2410 Double Churches Rd.
Suite a
Columbus, GA 31909 - Phone
- (706) 576-4600
- Fax
- (706) 576-4509
- NPI assigned
- Aug 29, 2006
- Last updated
- Oct 29, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nitin R. Desai, M.D.
- Title
- Administrator
- Phone
- (706) 576-4600
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 042810 | GA | Primary |
Addresses
Primary practice location
2410 Double Churches Rd.
Suite a
Columbus, GA 31909
Mailing address
2410 Double Churches Rd.
Suite a
Columbus, GA 31909
Phone (706) 576-4600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00733994B | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D0965700 | Nitin R Desai MD PC | Certificate of waiver | Sep 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
700 Center St
Ste 306
Columbus, GA 31901
Phone (404) 322-0176
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.
-
- Internal Medicine Physician
- Columbus, GA
- NPI 1497926430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288310400000",
"number": "1376651216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2410 DOUBLE CHURCHES RD.",
"address_2": "SUITE A",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "31909",
"telephone_number": "706-576-4600",
"fax_number": "706-576-4509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2410 DOUBLE CHURCHES RD.",
"address_2": "SUITE A",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "31909",
"telephone_number": "706-576-4600",
"fax_number": "706-576-4509"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NITIN R DESAI MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-29",
"last_updated": "2010-10-29",
"status": "A",
"authorized_official_last_name": "DESAI",
"authorized_official_first_name": "NITIN",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "706-576-4600",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "GA",
"license": "042810",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00733994B",
"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 Oct 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.