Organization Active NPI

Rivercity Rehabilitation and Spine Specialists, P.C.

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Columbus, GA
National Provider Identifier
1538177290
Registry record updated Jun 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P2900X
License
053857 Issued in GA
Legal business name
RIVERCITY REHABILITATION AND SPINE SPECIALISTS, P.C.
Practice address
2300 13TH St
Suite a
Columbus, GA 31906-2596
Phone
(706) 243-7010
Fax
(706) 243-7019
NPI assigned
Aug 4, 2006
Last updated
Jun 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2010

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

Authorized official

Name
Dr. Gary N Dawson, M.D.NPI 1841371499
Title
Doctor
Phone
(706) 243-7010

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
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X 053857 GA Primary

Addresses

Primary practice location

2300 13TH St
Suite a
Columbus, GA 31906-2596

Mailing address

2300 13TH St
Suite a
Columbus, GA 31906-2596
Phone (706) 243-7010

Other identifiers 1

IdentifierTypeStateIssuer
729703640AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040603000052 GA Part B Supplier - Clinic/Group Practice 8426030545 Receives reassigned benefits from 3 practitioners
Practice locations: Columbus, GA

National Provider Directory

National Provider Directory
Tax ID family
River City Rehab Spine Specialist2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276732800000",
    "number": "1538177290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 13TH ST",
            "address_2": "SUITE A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319062596",
            "telephone_number": "706-243-7010",
            "fax_number": "706-243-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 13TH ST",
            "address_2": "SUITE A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319062596",
            "telephone_number": "706-243-7010",
            "fax_number": "706-243-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERCITY REHABILITATION AND SPINE SPECIALISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2010-06-17",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "706-243-7010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "GA",
            "license": "053857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "729703640A",
            "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 Jun 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.