Individual provider Active NPI

Brian Pawlowski, FNP-C

  • Family Nurse Practitioner
  • Columbus, GA
National Provider Identifier
1578284923
Registry record updated Sep 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN145160 Issued in GA
Practice address
610 19TH St
Columbus, GA 31901-1534
Phone
(706) 322-7884
NPI assigned
Sep 5, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN145160 GA Primary

Addresses

Primary practice location

610 19TH St
Columbus, GA 31901-1534

Mailing address

610 19TH St
Columbus, GA 31901-1534

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230217001713 GA Practitioner - Nurse Practitioner 2365814407 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Georgia Mso LLCGroup PAC ID 3173041639, 29 clinicians

Practice addresses (Care Compare)

1640 Powers Ferry Rd SE
BLDG 15
Marietta, GA 30067-5491
Phone (212) 734-6621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis Affiliated Services LLC CurrentSince Dec 1, 2022 Accepting new patients
St Francis Affiliated Services LLC Family CurrentSince Dec 1, 2022 Accepting new patients
Hardy Renew Wellness,LLC CurrentSince Oct 31, 2024 Accepting new patients
Georgia Mso LLC CurrentSince Apr 15, 2025 Accepting new patients
Mac - Macon Road LLC Current Accepting new patients
Spectrum Anesthesia, LLC PastSince Jul 1, 2024 Accepting new patients

Locations

610 19th St
Columbus, GA 31901
Phone (706) 322-7884

3465 Macon Rd
Ste D
Columbus, GA 31907
Phone (706) 243-3051

1640 Powers Ferry Rd SE
Bldg 15
Marietta, GA 30067
Phone (770) 722-9595

Organizations & group practices 6

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": "1662336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662336000000",
    "number": "1578284923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 19TH ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 19TH ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011534",
            "telephone_number": "706-322-7884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWLOWSKI",
        "first_name": "BRIAN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-05",
        "last_updated": "2022-09-05",
        "certification_date": "2022-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN145160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.