Organization Active NPI

Chhokar Clinic

  • Specialist
  • Columbus, GA
National Provider Identifier
1619079100
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CHHOKAR CLINIC
Practice address
2300 Manchester Expy Ste 1001
Columbus, GA 31904-6877
Phone
(706) 322-0528
Fax
(706) 322-2080
NPI assigned
Sep 4, 2006
Last updated
Oct 2, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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

Authorized official

Name
Delia Torre
Title
Practice Manager
Phone
(706) 322-0528

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

2300 Manchester Expy Ste 1001
Columbus, GA 31904-6877

Mailing address

2300 Manchester Expy Ste 1001
Columbus, GA 31904-6877
Phone (706) 322-0528

Other names 1

  • Chhokar & Chhokar MD's PC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040427000953 GA Part B Supplier - Clinic/Group Practice 6800883463 Receives reassigned benefits from 6 practitioners
Practice locations: Columbus, GA
O20080327000031 AL Part B Supplier - Clinic/Group Practice 6800883463 Receives reassigned benefits from 1 practitioner
Practice locations: Phenix City, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0955763Chhokar & Chhokar MD PC2300 Manchester Expy Butler Pavilion, Ste 1001, Columbus, GA 31904Certificate of waiverJan 10, 2027

National Provider Directory

National Provider Directory
Tax ID family
Chhokar Chhokar MD2 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.

Locations

1906 Warm Springs Rd
Columbus, GA 31904
Phone (706) 322-0528

2300 Manchester Expy
Ste 1001
Columbus, GA 31904
Phone (706) 322-0528

Practitioners & affiliated clinicians

Practitioners 7

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": "1157328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538438400000",
    "number": "1619079100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 MANCHESTER EXPY STE 1001",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046877",
            "telephone_number": "706-322-0528",
            "fax_number": "706-322-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 MANCHESTER EXPY STE 1001",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046877",
            "telephone_number": "706-322-0528",
            "fax_number": "706-322-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHHOKAR CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-04",
        "last_updated": "2018-10-02",
        "status": "A",
        "authorized_official_last_name": "TORRE",
        "authorized_official_first_name": "DELIA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "706-322-0528"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chhokar & Chhokar MD's PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Chhokar & Chhokar MD's PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.