Organization Active NPI

Columbus Diagnostic Center Inc

Doing business as CDC Northside

  • Diagnostic Radiology Physician
  • Columbus, GA
National Provider Identifier
1598081093
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
COLUMBUS DIAGNOSTIC CENTER INC
Doing business as
CDC Northside
Practice address
7500 Veterans Pkwy Ste B
Columbus, GA 31909-2525
Phone
(706) 323-7622
Fax
(706) 256-3454
NPI assigned
Apr 9, 2010
Last updated
Oct 28, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
COLUMBUS DIAGNOSTIC CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Authorized official

Name
Joseph A Paul
Title
President
Phone
(561) 744-9122

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X NU
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

7500 Veterans Pkwy Ste B
Columbus, GA 31909-2525

Mailing address

PO Box 931077
Atlanta, GA 31193-1077
Phone (706) 256-3450

Other names 1

  • CDC Northside Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL, AL, AZ, WA, VA, SC, WV, CA, IL, TX, NY, PA, MS, MI, MT, NV, TN, IN, ND20 enrollments

Enrollment records 20

Enrollment IDStateProvider typePAC IDDetails
O20040429001218 GA Part B Supplier - Clinic/Group Practice 3375455884 Receives reassigned benefits from 58 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Columbus, GA; Savannah, GA
O20230428001971 FL Part B Supplier - Clinic/Group Practice 3375455884 Receives reassigned benefits from 11 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Jacksonville, FL; Hollywood, FL; Weston, FL; Tallahassee, FL; Sanford, FL; Saint Augustine, FL; Orlando, FL
O20230508001015 AL Part B Supplier - Clinic/Group Practice 3375455884 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Vestavia, AL; Phenix City, AL; Mobile, AL; Mountain BRK, AL; Birmingham, AL
O20230623001733 AZ Part B Supplier - Clinic/Group Practice 3375455884 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Paradise Valley, AZ
O20230801003923 WA Part B Supplier - Clinic/Group Practice 3375455884 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bellingham, WA
O20230925002679 VA Part B Supplier - Clinic/Group Practice 3375455884 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Virginia Beach, VA
O20230925002886 SC Part B Supplier - Clinic/Group Practice 3375455884 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Blythewood, SC; Charleston, SC; Mt Pleasant, SC
O20230925003153 WV Part B Supplier - Clinic/Group Practice 3375455884 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Huntington, WV
O20230929002574 CA Part B Supplier - Clinic/Group Practice 3375455884 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Newport Beach, CA; Glendale, CA; Burbank, CA
O20231009002247 IL Part B Supplier - Clinic/Group Practice 3375455884 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chicago, IL; Lake Zurich, IL; Modesto, IL
O20231019002674 TX Part B Supplier - Clinic/Group Practice 3375455884 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Houston, TX; Boerne, TX
O20231027002651 NY Part B Supplier - Clinic/Group Practice 3375455884 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Jericho, NY
O20231101002570 PA Part B Supplier - Clinic/Group Practice 3375455884 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Presto, PA
O20231206002793 MS Part B Supplier - Clinic/Group Practice 3375455884 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cleveland, MS
O20231214000332 MI Part B Supplier - Clinic/Group Practice 3375455884 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Saint Joseph, MI
O20231218002627 MT Part B Supplier - Clinic/Group Practice 3375455884 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hamilton, MT
O20240108003448 NV Part B Supplier - Clinic/Group Practice 3375455884 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Las Vegas, NV
O20240110000641 TN Part B Supplier - Clinic/Group Practice 3375455884 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Memphis, TN
O20240304000993 IN Part B Supplier - Clinic/Group Practice 3375455884 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Valparaiso, IN
O20240618003173 ND Part B Supplier - Clinic/Group Practice 3375455884 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bismarck, ND

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Columbus Diagnostic Center Inc

Locations

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

7500 Veterans Pkwy
Ste B
Columbus, GA 31909
Phone (706) 323-7622

Practitioners & affiliated clinicians

Practitioners 87

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.

View all 87

NPI Registry JSON

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1598081093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 931077",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311931077",
            "telephone_number": "706-256-3450",
            "fax_number": "706-256-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 VETERANS PKWY STE B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319092525",
            "telephone_number": "706-323-7622",
            "fax_number": "706-256-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS DIAGNOSTIC CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLUMBUS DIAGNOSTIC CENTER INC",
        "enumeration_date": "2010-04-09",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-744-9122"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CDC Northside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 28, 2020; 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.