Active NPI
Simin Houshmand, M.D.
- Family Medicine Physician
- Columbus, GA
National Provider Identifier
1497970529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 001678
- Practice address
- 1800 10TH Ave
Columbus, GA 31901-1513 - Phone
- (706) 571-1823
- Fax
- (706) 660-2685
- NPI assigned
- Apr 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 001678 | GA | Primary |
Addresses
Primary practice location
1800 10TH Ave
Columbus, GA 31901-1513
Mailing address
1800 10TH Ave
Columbus, GA 31901-1513
Phone (706) 571-1823
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110719000674 | GA | Practitioner - Family Practice | 6800064759 | Practice locations: Valdosta, GA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001678 | GA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497970529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 10TH AVE",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319011513",
"telephone_number": "706-571-1823",
"fax_number": "706-660-2685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 10TH AVE",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319011513",
"telephone_number": "706-571-1823",
"fax_number": "706-660-2685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSHMAND",
"first_name": "SIMIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "001678",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.