Active NPI
Columbus Diagnostic Center Inc
Doing business as CDC Northside
- Diagnostic Radiology Physician
- Columbus, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- 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, 2020
- Organization subpart
- Yes
- Parent organization
- COLUMBUS DIAGNOSTIC CENTER INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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, ND
Enrollment records 20
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Diagnostic Radiology Physician
- Columbus, GA
- NPI 1316108624
O20040429001218, O20230428001971, O20230508001015, O20230623001733, O20230801003923, O20230925002679, O20230925002886, O20230925003153, O20230929002574, O20231009002247, O20231019002674, O20231027002651, O20231101002570, O20231206002793, O20
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.
-
- Diagnostic Radiology Physician
- Savannah, GA
- NPI 1073508735
-
- Diagnostic Radiology Physician
- Savannah, GA
- NPI 1417177148
-
- Diagnostic Radiology Physician
- Savannah, GA
- NPI 1144674813
-
- Orthopedic Physical Therapist
- Pine Mountain, GA
- NPI 1780073684
-
- Diagnostic Radiology Physician
- Savannah, GA
- NPI 1902187479
-
- Diagnostic Radiology Physician
- Savannah, GA
- NPI 1992707145
-
- Diagnostic Radiology Physician
- Columbus, GA
- NPI 1306860127
-
- Diagnostic Radiology Physician
- Savannah, GA
- NPI 1154421279
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1952628877
-
- Diagnostic Radiology Physician
- Savannah, GA
- NPI 1720072317
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1083692289
-
- Diagnostic Radiology Physician
- Columbus, GA
- NPI 1942432653
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
- Columbus Custom RX, LLC (Columbus Custom Rx Pharmacy: Compounding and Wellness)
- Columbus Department of Public Health
- Columbus Dermatology, PC
- Columbus Diabetes & Wound Care Center LLC
- Columbus Diagnostic Center Inc
- Columbus Diagnostic Center Inc
- Columbus Endodontics LLC
- Columbus Endoscopy Center LLC
- Columbus Eye Associates, P.C.
- Columbus Family Medicine Associates
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.