St. Francis Physician Practices LLC
Organization Active NPI Gastroenterology Physician · Columbus, GA
NPI 1609655646 · NPPES record last updated Jun 14, 2025
Key facts
- NPI
- 1609655646
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- Legal business name
- ST. FRANCIS PHYSICIAN PRACTICES LLC
- Practice address
- 2300 Manchester Expy
Columbus, GA 31904-6802 - Phone
- (706) 320-2766
- Fax
- (706) 320-2768
- NPI assigned
- Sep 28, 2023
- Organization subpart
- No
Authorized official
- Name
- Johnetta M Traylor
- Title
- Administrator
- Phone
- (502) 596-6063
Other NPIs on the same Medicare enrollment 23
Other NPIs with the same Medicare PAC ID 1
Practitioners 406
-
Corey Garvin, M.D.
-
John Socrates Scales, M.D.
-
Stephen Andrew Sevigny, M.D.
-
John C Tonkin, M.D.
-
John Edward Agles, M.D.
-
Dana Mark Allen, MD
-
Edilberto Raul Alvarez, M.D.
-
Ayush Amin, MD
-
Rizwan Afzal Assad, M.D.
-
Amanda Cassady Aulls, M.D.
-
Rohan Biswas, MD, PHD
-
Kareem I. Bohsali, M.D.
-
Alireza Bozorgmanesh, M.D.
-
John T Carroll, MD
-
Clayton Warren Commander, M.D., PH.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (13 enrollments) in GA, HI, FL, VA, SC, NC, PR, CT, MI, RI, AL, MA, DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160120002073 | GA | Part B Supplier - Clinic/Group Practice | 8729381033 |
Receives reassigned benefits from 295 practitioners 23 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lagrange, GA; Columbus, GA; Gainesville, GA; Braselton, GA |
| O20250620001204 | HI | Part B Supplier - Clinic/Group Practice | 8729381033 |
Receives reassigned benefits from 1 practitioner Practice locations: Kailua, HI |
| O20250625002963 | FL | Part B Supplier - Clinic/Group Practice | 8729381033 | Receives reassigned benefits from 78 practitioners |
| O20250711000945 | VA | Part B Supplier - Clinic/Group Practice | 8729381033 |
Receives reassigned benefits from 1 practitioner Practice locations: Winchester, VA |
| O20250806004651 | SC | Part B Supplier - Clinic/Group Practice | 8729381033 |
Receives reassigned benefits from 2 practitioners Practice locations: North Augusta, SC; Charleston, SC |
| O20250908001978 | NC | Part B Supplier - Clinic/Group Practice | 8729381033 |
Receives reassigned benefits from 3 practitioners Practice locations: Cary, NC; Greenville, NC; Winston Salem, NC |
| O20250923002994 | PR | Part B Supplier - Clinic/Group Practice | 8729381033 |
Receives reassigned benefits from 5 practitioners Practice locations: San Juan, PR; Guaynabo, PR; Caguas, PR |
| O20250926001035 | CT | Part B Supplier - Clinic/Group Practice | 8729381033 |
Receives reassigned benefits from 2 practitioners Practice locations: Monroe, CT; Trumbull, CT |
| O20251119001437 | MI | Part B Supplier - Clinic/Group Practice | 8729381033 |
Receives reassigned benefits from 1 practitioner Practice locations: Oakland, MI |
| O20251121002653 | RI | Part B Supplier - Clinic/Group Practice | 8729381033 |
Receives reassigned benefits from 1 practitioner Practice locations: Warwick, RI |
| O20260129000162 | AL | Part B Supplier - Clinic/Group Practice | 8729381033 |
Receives reassigned benefits from 1 practitioner Practice locations: Vandiver, AL |
| O20260129001942 | MA | Part B Supplier - Clinic/Group Practice | 8729381033 |
Receives reassigned benefits from 1 practitioner Practice locations: Boston, MA |
| O20260414001118 | DC | Part B Supplier - Clinic/Group Practice | 8729381033 |
Receives reassigned benefits from 2 practitioners Practice locations: Falls Church, VA; Herndon, VA |
National Provider Directory
Locations
1818 SW 15th Ave
Ocala, FL 34471
Phone (352) 671-4200
2300 Manchester Expy
Ste 2001D
Columbus, GA 31904
2300 Manchester Expy
Ste 201
Columbus, GA 31904
Phone (706) 243-4550
3726 Woodruff Rd
Columbus, GA 31904
Phone (706) 257-7680
2122 Manchester Expy
Ste 1005
Columbus, GA 31904
700 Center St
Columbus, GA 31901
Phone (706) 571-1427
2300 Manchester Expy
Ste 1005
Columbus, GA 31904
Phone (706) 320-3266
300 Smith St
Lagrange, GA 30240
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician |
207RG0100X | Yes | ||
| Diagnostic Radiology Physician |
2085R0202X |
Addresses
Primary practice location
2300 Manchester Expy
Columbus, GA 31904-6802
Mailing address
2300 Manchester Expy
Columbus, GA 31904-6802
Phone (706) 320-2766
Other providers in Columbus, GA
- St. Francis Orthopaedic Institute LLC
- St. Francis Orthopaedic Institute LLC
- St. Francis Physician Practices LLC
- St. Francis Physician Practices LLC
- St. Francis Physician Practices LLC
- St. Francis Physician Practices LLC
- St. Francis Physician Practices LLC
- St. Francis Psychiatrist ,LLC
- St. Francis Radiologist, LLC
- St. Francis Radiologists, LLC
All providers in Columbus, GA · Gastroenterology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.