Active NPI
Inter-American Primary Care LLC
- General Practice Physician
- Columbus, GA
National Provider Identifier
1487932687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- INTER-AMERICAN PRIMARY CARE LLC
- Practice address
- 1013 Talbotton Rd
Columbus, GA 31904-8744 - Phone
- (762) 525-9636
- NPI assigned
- Jul 22, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ricardo Banjamin Alvarez
- Title
- General Practice
- Phone
- (706) 507-7067
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
1013 Talbotton Rd
Columbus, GA 31904-8744
Mailing address
1013 Talbotton Rd
Columbus, GA 31904-8744
Phone (762) 525-9636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111004000057 | GA | Part B Supplier - Clinic/Group Practice | 9931371531 |
Receives reassigned benefits from 1 practitioner Practice locations: Columbus, GA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2035965 | Inter-American Primary Care, LLC | Certificate of waiver | Jan 29, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hematology & Oncology Physician
- Columbus, GA
- NPI 1780787366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666569600000",
"number": "1487932687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1013 TALBOTTON RD",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319048744",
"telephone_number": "762-525-9636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1013 TALBOTTON RD",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319048744",
"telephone_number": "762-525-9636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTER-AMERICAN PRIMARY CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-22",
"last_updated": "2022-10-24",
"certification_date": "2022-10-24",
"status": "A",
"authorized_official_last_name": "ALVAREZ",
"authorized_official_first_name": "RICARDO",
"authorized_official_middle_name": "BANJAMIN",
"authorized_official_title_or_position": "GENERAL PRACTICE",
"authorized_official_telephone_number": "706-507-7067"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, GA
- Inphynt
- Inspirational Nemt Service
- Inspirational Personal Care Home
- Integral Anesthesia Services
- Integrity Medical Group
- Interface Home Health
- Internal Medicine Associates of Columbus, LLC
- Internal Medicine Education & Research Foundation of Columbus, Inc
- Internal Medicine Education and Research Foundation
- Internal Medicine of West-Central Georgia, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.