Active NPI
Edward Alan Minor, M.D.
- Child & Adolescent Psychiatry Physician
- Columbus, GA
National Provider Identifier
1447341979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 045095
- Practice address
- 2100 Comer Ave
Box 5328
Columbus, GA 31904-8725 - Phone
- (706) 596-5557
- Fax
- (706) 596-5569
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 045095 | GA | Primary |
Addresses
Primary practice location
2100 Comer Ave
Box 5328
Columbus, GA 31904-8725
Mailing address
2100 Comer Ave
Box 5328
Columbus, GA 31904-8725
Phone (706) 596-5557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Horizons Area MH Mr Sa Program | Current | Accepting new patients | |
| Horizons North, Inc. | Current | Accepting new patients | |
| Mercymed of Columbus Inc | Past | Accepting new patients |
Locations
2100 Comer Ave
#5328
Columbus, GA 31904
Phone (706) 596-5557
2100 Comer Ave
Columbus, GA 31904
Phone (706) 323-0174
1215 2nd Ave
Columbus, GA 31901
Phone (706) 323-0174
Interoperability endpoints
- eminor@directmd.nhbh.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Counselor
- Columbus, GA
- NPI 1184736092
-
- Clinic/Center
- Columbus, GA
- NPI 1154315422
-
- Internal Medicine Physician
- Columbus, GA
- NPI 1639450877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447341979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 COMER AVE",
"address_2": "BOX 5328",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319048725",
"telephone_number": "706-596-5557",
"fax_number": "706-596-5569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 COMER AVE",
"address_2": "BOX 5328",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319048725",
"telephone_number": "706-596-5557",
"fax_number": "706-596-5569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINOR",
"first_name": "EDWARD",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "GA",
"license": "045095",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.