NPIMap

Organization Active NPI

Informed Care Solutions, Inc

Doing business as Informed Care Inc

  • Family Medicine Physician
  • Columbus, GA
National Provider Identifier
1417146408
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
024342 Issued in GA
Legal business name
INFORMED CARE SOLUTIONS, INC
Doing business as
Informed Care Inc
Practice address
233 12TH St
Suite 800
Columbus, GA 31901-2462
Phone
(877) 800-4882
Fax
(407) 786-4011
NPI assigned
Oct 16, 2007
Last updated
May 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Mary Consolato
Title
Practice Manager
Phone
(877) 800-4882

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RNO60198 NP GA
Family Nurse Practitioner 363LF0000X RN088485 GA
Family Nurse Practitioner 363LF0000X RN150783 GA
Family Medicine Physician 207Q00000X 024342 GA Primary

Addresses

Primary practice location

233 12TH St
Suite 800
Columbus, GA 31901-2462

Mailing address

PO Box 6250
Charlottesville, VA 22906-6250
Phone (877) 800-4882

Other identifiers 1

IdentifierTypeStateIssuer
DF4461OtherRR MEDICARE

Other names 1

  • Informed Care Inc Doing business as

National Provider Directory

National Provider Directory

Locations

801 Douglas Ave
Ste 104
Altamonte Springs, FL 32714
Phone (434) 977-9719

233 12th St
Ste 800
Columbus, GA 31901
Phone (706) 596-8483

20 Iturbide St
Laredo, TX 78040
Phone (956) 794-8856

4404 Ivy Commons
#250W
Charlottesvle, VA 22903
Phone (434) 977-9719

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1417146408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6250",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229066250",
            "telephone_number": "877-800-4882",
            "fax_number": "407-786-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 12TH ST",
            "address_2": "SUITE 800",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012462",
            "telephone_number": "877-800-4882",
            "fax_number": "407-786-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFORMED CARE SOLUTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "CONSOLATO",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "877-800-4882"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RNO60198 NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN088485",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN150783",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "024342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DF4461",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Informed Care Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 22, 2008; 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.