Organization Active NPI

Brookstone Rheumatology Associates

  • Medical Specialty Clinic/Center
  • Columbus, GA
National Provider Identifier
1457879306
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
062935 Issued in GA
Legal business name
BROOKSTONE RHEUMATOLOGY ASSOCIATES
Practice address
2443 Brookstone Centre Pkwy Ste a
Columbus, GA 31904-4664
Phone
(706) 320-8900
Fax
(706) 320-8919
NPI assigned
Aug 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Huma Ahmed, MDNPI 1972616241
Title
Physician
Phone
(313) 643-0996

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 062935 GA Primary

Addresses

Primary practice location

2443 Brookstone Centre Pkwy Ste a
Columbus, GA 31904-4664

Mailing address

2443 Brookstone Centre Pkwy Ste a
Columbus, GA 31904-4664
Phone (706) 221-2768

Other identifiers 1

IdentifierTypeStateIssuer
4918817MedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180725003853 GA Part B Supplier - Clinic/Group Practice 5597012229 Receives reassigned benefits from 1 practitioner
Practice locations: Columbus, GA; Cumming, GA

National Provider Directory

National Provider Directory

Locations

2443 Brookstone Centre Pkwy
#400
Columbus, GA 31904

2443 Brookstone Centre Pkwy
Columbus, GA 31904

2300 Manchester Expy
Ste 103
Columbus, GA 31904
Phone (706) 221-2768

500 18th St
Ste B40
Columbus, GA 31901
Phone (706) 221-2768

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1457879306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2443 BROOKSTONE CENTRE PKWY STE A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319044664",
            "telephone_number": "706-221-2768",
            "fax_number": "706-221-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2443 BROOKSTONE CENTRE PKWY STE A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319044664",
            "telephone_number": "706-320-8900",
            "fax_number": "706-320-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKSTONE RHEUMATOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "HUMA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "313-643-0996",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "GA",
            "license": "062935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4918817",
            "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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.