Individual provider Active NPI

Robert Marion Patton, M.D.

  • Cardiovascular Disease Physician
  • Columbus, GA
National Provider Identifier
1508975269
Registry record updated Dec 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
17258 Issued in GA
Practice address
4403 Holly Ave
Columbus, GA 31904-6525
Phone
(706) 322-5511
Fax
(706) 322-6010
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 17258 GA Primary

Addresses

Primary practice location

4403 Holly Ave
Columbus, GA 31904-6525

Mailing address

4403 Holly Ave
Columbus, GA 31904-6525
Phone (706) 322-5511

Other identifiers 6

IdentifierTypeStateIssuer
0099006645MedicaidAL
034140OtherGABC/BS
GRP2151OtherGAMEDICARE COLUMBUS DIAGNOSTIC CENTER GROUP NUMBER
00093079AMedicaidGA
60010482OtherALBC/BS
47BBBFQOtherGACOLUMBUS DIAGNOSTIC CENTER, IDTF

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050224000205 GA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 7719930288 Reassigns benefits to 1 organization
Practice locations: Columbus, GA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17258GAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Diagnostic Center Inc CurrentSince Nov 1, 2009 Accepting new patients
Columbus Diagnostic Center Inc CurrentSince Nov 1, 2009 Accepting new patients
Regional Open MRI, LLC CurrentSince Jun 1, 2017 Accepting new patients
Internal Medicine Education and Research Foundation Past Accepting new patients
Internal Medicine Education & Research Foundation of Columbus, Inc Past Accepting new patients

Locations

2040 10th Ave
Columbus, GA 31901
Phone (706) 322-3000

2516 University Dr
#A
Thomson, GA 30824
Phone (706) 595-4674

1014 Augusta Rd
Ste 1
Thomson, GA 30824
Phone (706) 595-4674

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260748800000",
    "number": "1508975269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 HOLLY AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046525",
            "telephone_number": "706-322-5511",
            "fax_number": "706-322-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 HOLLY AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046525",
            "telephone_number": "706-322-5511",
            "fax_number": "706-322-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTON",
        "first_name": "ROBERT",
        "middle_name": "MARION",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2009-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "17258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0099006645",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "034140",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE COLUMBUS DIAGNOSTIC CENTER GROUP NUMBER",
            "identifier": "GRP2151",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00093079A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "60010482",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLUMBUS DIAGNOSTIC CENTER, IDTF",
            "identifier": "47BBBFQ",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.