Organization Active NPI

Inter-American Primary Care LLC

  • General Practice Physician
  • Columbus, GA
National Provider Identifier
1487932687
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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

Updated by the provider on Oct 24, 2022

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

Authorized official

Name
Ricardo Banjamin AlvarezNPI 1417078031
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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2035965Inter-American Primary Care, LLC1013 Talbotton Road, Columbus, GA 31904Certificate of waiverJan 29, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "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

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.

Verify at the official NPI Registry.