Individual provider Active NPI

George W Mize III, MD

  • Surgery Physician
  • Columbus, GA
National Provider Identifier
1457714602
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
88939 Issued in GA
Practice address
1900 10TH Ave Ste 201
Columbus, GA 31901-3602
Phone
(706) 984-7400
Fax
(706) 575-5439
NPI assigned
Apr 4, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 88939 GA Primary

Addresses

Primary practice location

1900 10TH Ave Ste 201
Columbus, GA 31901-3602

Mailing address

1900 10TH Ave Ste 201
Columbus, GA 31901-3602
Phone (706) 984-7400

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210726000016 GA Practitioner - General Surgery 9032404397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Mercer University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Surgical Specialists, LLCGroup PAC ID 6103120670, 5 clinicians

Practice addresses (Care Compare)

1900 10TH Ave
Suite 201
Columbus, GA 31901-3602
Phone (706) 984-7400

Hospital & facility affiliations

  • Piedmont Columbus Regional Northside Hospital, Columbus, GA, CCN 110200
  • Piedmont Columbus Regional Midtown Hospital, Columbus, GA, CCN 110064
  • St Francis Hospital- Emory Healthcare Hospital, Columbus, GA, CCN 110129

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy19
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy11
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Surgical Specialists, LLC Surgery CurrentSince Jul 1, 2021 Accepting new patients

Locations

1900 10th Ave
Ste 201
Columbus, GA 31901
Phone (706) 596-1327

Interoperability endpoints

  • Direct secure messaging: george.mize.1@12736.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12736/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1457714602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 10TH AVE STE 201",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319013602",
            "telephone_number": "706-984-7400",
            "fax_number": "706-575-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 10TH AVE STE 201",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319013602",
            "telephone_number": "706-984-7400",
            "fax_number": "706-575-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZE",
        "first_name": "GEORGE",
        "middle_name": "W",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-04",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "88939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.