Organization Active NPI

Columbus Surgery Associates

  • Surgery Physician
  • Columbus, MS
National Provider Identifier
1508883539
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
COLUMBUS SURGERY ASSOCIATES
Practice address
255 Baptist Blvd
Ste 307
Columbus, MS 39705-2011
Phone
(662) 328-1862
Fax
(662) 328-7597
NPI assigned
Jul 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jerry L Stennett, M.D.NPI 1467479485
Title
Physician
Phone
(662) 328-1862

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
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

255 Baptist Blvd
Ste 307
Columbus, MS 39705-2011

Mailing address

PO Box 1019
Columbus, MS 39703-1019
Phone (662) 328-1862

National Provider Directory

National Provider Directory

Locations

5 Fifth St
Columbus, MS 39710
Phone (601) 328-1862

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508883539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1019",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397031019",
            "telephone_number": "662-328-1862",
            "fax_number": "662-328-7597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 BAPTIST BLVD",
            "address_2": "STE 307",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052011",
            "telephone_number": "662-328-1862",
            "fax_number": "662-328-7597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS SURGERY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STENNETT",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "662-328-1862",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.