Columbus Shoulder Surgery & Sports Medicine LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

053576 Issued in GA

Legal business name

COLUMBUS SHOULDER SURGERY & SPORTS MEDICINE LLC

Practice address

2045 Centre Stone CT
Ste a
Columbus, GA 31904-4561

Phone

(706) 596-8844

Fax

(844) 274-2477

NPI assigned

Oct 20, 2015

Organization subpart

No

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

Authorized official

Name

Robert Gordon Lewis, MD

Title

Owner

Phone

(706) 596-8844

Specialties & licenses 2

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12595/brand/2/csg/1/fhir/r4

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447113600000",
    "number": "1437521291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 CENTRE STONE CT",
            "address_2": "STE A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319044561",
            "telephone_number": "706-596-8844",
            "fax_number": "844-274-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 CENTRE STONE CT",
            "address_2": "STE A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319044561",
            "telephone_number": "706-596-8844",
            "fax_number": "844-274-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS SHOULDER SURGERY & SPORTS MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-20",
        "last_updated": "2015-11-10",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-596-8844",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "053576",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "GA",
            "license": "053576",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Columbus Rehab Center, LLC
• Columbus Sleep Solutions
• Columbus Specialty Hospital
• Columbus Speech & Hearing Center
• Columbus Spine and Performance Center, LLC
• Columbus State University (CSU Student Health Services)

• Orthopaedic Surgery Physician in Columbus, GA
• Providers in Columbus, GA by specialty
• Orthopaedic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.