Active NPI
Robert Marion Patton, M.D.
- Cardiovascular Disease Physician
- Columbus, GA
National Provider Identifier
1508975269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 17258
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0099006645 | Medicaid | AL | |
| 034140 | Other | GA | BC/BS |
| GRP2151 | Other | GA | MEDICARE COLUMBUS DIAGNOSTIC CENTER GROUP NUMBER |
| 00093079A | Medicaid | GA | |
| 60010482 | Other | AL | BC/BS |
| 47BBBFQ | Other | GA | COLUMBUS 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17258 | GA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbus Diagnostic Center Inc | Current | Accepting new patients | |
| Columbus Diagnostic Center Inc | Current | Accepting new patients | |
| Regional Open MRI, LLC | Current | 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.
-
- Diagnostic Radiology Physician
- Columbus, GA
- NPI 1316108624
-
- Diagnostic Radiology Physician
- Columbus, GA
- NPI 1598081093
-
- Radiology Clinic/Center
- Thomson, GA
- NPI 1528128790
-
- Ph.D. Medical Genetics
- Columbus, GA
- NPI 1821047721
-
- Critical Care Medicine (Internal Medicine) Physician
- Columbus, GA
- NPI 1356542997
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; 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.