NPIMap

Individual provider Active NPI

Colm Acuff, DO

  • Emergency Medicine Physician
  • Enumclaw, WA
National Provider Identifier
1487605671
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OP60931223 Issued in WA
Practice address
1455 Battersby Ave
Enumclaw, WA 98022-3634
Phone
(912) 350-3849
NPI assigned
May 13, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 56255 GA
Emergency Medicine Physician 207P00000X OP60931223 WA Primary

Addresses

Primary practice location

1455 Battersby Ave
Enumclaw, WA 98022-3634

Mailing address

6896 W Snowville Rd
Brecksville, OH 44141-3214

Other identifiers 5

IdentifierTypeStateIssuer
657255344AOtherGAPEACH STATE HEALTH PLAN
967531OtherGABLUE CROSS BLUE SHIELD
657255344AMedicaidGA
N362160OtherGAWELLCARE
G56255MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL, FL3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050718000760 GA Practitioner - Emergency Medicine 4587558952 Reassigns benefits to 2 organizations
I20240215002916 AL Practitioner - Emergency Medicine 4587558952 Reassigns benefits to 1 organization
I20260123002195 FL Practitioner - Emergency Medicine 4587558952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physicians IncGroup PAC ID 7911811435, 105 clinicians

Practice addresses (Care Compare)

1108 Ross Clark Cir
Dothan, AL 36301-3022
Phone (334) 793-8087

2415 Parkwood Dr
Brunswick, GA 31520-4722
Phone (912) 466-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3481ALMDGeneral Practice Dentistry
56255GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Laboratory Associates Current Accepting new patients
Emergency Physicians Inc Emergency Medicine CurrentSince Jan 6, 2026 Accepting new patients
Houston County Healthcare Authority Emergency Medicine Current Accepting new patients
Emergency Physicians Inc Emergency Medicine CurrentSince Jan 6, 2026 Accepting new patients
Houston County Healthcare Authority CurrentSince Jan 6, 2024 Accepting new patients
Houston County Healthcare Authority Current Accepting new patients
Medcore Associates, PLLC Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Memorial Health Urgentone, Inc. Emergency Medicine Past Accepting new patients

Locations

1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635

1250 S 18th St
Ste 202
Fernandina Beach, FL 32034
Phone (904) 202-2000

1747 Baptist Clay Dr
Ste 250
Fleming Isle, FL 32003
Phone (904) 516-1000

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

2060 Dan Proctor Dr
Ste 3800
Saint Marys, GA 31558
Phone (912) 540-6802

Organizations & group practices 10

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.

Hospital & facility affiliations 4

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": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1487605671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6896 W SNOWVILLE RD",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441413214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 BATTERSBY AVE",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980223634",
            "telephone_number": "912-350-3849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACUFF",
        "first_name": "COLM",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2023-03-07",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "56255",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "OP60931223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEACH STATE HEALTH PLAN",
            "identifier": "657255344A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "967531",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "657255344A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "N362160",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G56255",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enumclaw, WA

Sources for this page

Verify at the official NPI Registry.