Individual provider Active NPI

Ludwika Zenobia Durbin, NP-C, DNP

  • Nurse Practitioner
  • Columbus, GA
National Provider Identifier
1487168514
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN210975 Issued in GA
Practice address
100 Frist CT
Columbus, GA 31909
Phone
(706) 494-2100
NPI assigned
Nov 28, 2017
Last updated
Dec 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN210975 GA Primary
Registered Nurse 163W00000X 1-151191 AL

Addresses

Primary practice location

100 Frist CT
Columbus, GA 31909

Mailing address

100 Frist CT # Ed
Columbus, GA 31909-3578
Phone (706) 494-2100

Other practice location 1

100 Frist Ct
Columbus, GA 31909-3578
Phone (706) 494-2100

Other practice location 2

6318 Cape Cod Dr
Columbus, GA 31904-2916
Phone (860) 373-8315

Other names 1

  • Ludwika Zenobia Blach Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180723001264 GA Practitioner - Nurse Practitioner 6204183205 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benning Hospitalist Services LLCGroup PAC ID 5698038479, 29 clinicians
Heritage Physician Services LLCGroup PAC ID 6305100850, 33 clinicians

Practice addresses (Care Compare)

100 Frist CT
Columbus, GA 31909-3578
Phone (706) 494-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-151191ALMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Physician Services, LLC CurrentSince Mar 1, 2018 Accepting new patients
Benning Hospitalist Services, LLC CurrentSince Apr 1, 2020 Accepting new patients
Emergency Group of Columbus, LLC CurrentSince Jun 1, 2018 Accepting new patients
Muscogee Hospitalist Services, LLC CurrentSince May 1, 2021 Accepting new patients

Locations

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1487168514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FRIST CT # ED",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319093578",
            "telephone_number": "706-494-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FRIST CT",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "31909",
            "telephone_number": "706-494-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Frist Ct",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319093578",
            "country_code": "US",
            "telephone_number": "706-494-2100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6318 Cape Cod Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319042916",
            "country_code": "US",
            "telephone_number": "860-373-8315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURBIN",
        "first_name": "LUDWIKA",
        "middle_name": "ZENOBIA",
        "credential": "NP-C, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-28",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN210975",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-151191",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUDWIKA",
            "last_name": "BLACH",
            "middle_name": "ZENOBIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.