Organization Active NPI

Rivertown Rheumatology P.C.

  • Rheumatology Physician
  • Columbus, GA
National Provider Identifier
1437288255
Registry record updated Dec 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
043709 Issued in GA
Legal business name
RIVERTOWN RHEUMATOLOGY P.C.
Practice address
700 Center St
Ste 303
Columbus, GA 31901-1546
Phone
(706) 494-8444
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2013

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

Authorized official

Name
Dr. Philip Bruce Meadow, D.O.
Title
Rheumatologist/Ceo
Phone
(706) 494-8444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X 043709 GA Primary

Addresses

Primary practice location

700 Center St
Ste 303
Columbus, GA 31901-1546

Mailing address

700 Center St
Ste 303
Columbus, GA 31902-1566
Phone (706) 494-8444

Other identifiers 1

IdentifierTypeStateIssuer
000750373CMedicaidGA

National Provider Directory

National Provider Directory

Locations

700 Center St
Ste 303
Columbus, GA 31901
Phone (706) 494-8444

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386115200000",
    "number": "1437288255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CENTER ST",
            "address_2": "STE 303",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319021566",
            "telephone_number": "706-494-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CENTER ST",
            "address_2": "STE 303",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011546",
            "telephone_number": "706-494-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERTOWN RHEUMATOLOGY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2013-12-04",
        "status": "A",
        "authorized_official_last_name": "MEADOW",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "RHEUMATOLOGIST/CEO",
        "authorized_official_telephone_number": "706-494-8444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "GA",
            "license": "043709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000750373C",
            "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 Dec 4, 2013; 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.