Organization Active NPI

Endocrine Consultants, P.C.

  • Specialist
  • Columbus, GA
National Provider Identifier
1639224801
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
040452 Issued in GA
Legal business name
ENDOCRINE CONSULTANTS, P.C.
Practice address
2425 Brookstone Centre Pkwy
Columbus, GA 31904-4501
Phone
(706) 322-1700
Fax
(706) 320-0456
NPI assigned
Jan 25, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Gina Wangle
Title
Chief Operating Officer
Phone
(706) 322-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 040452 GA Primary

Addresses

Primary practice location

2425 Brookstone Centre Pkwy
Columbus, GA 31904-4501

Mailing address

2425 Brookstone Centre Pkwy
Columbus, GA 31904-4501
Phone (706) 322-1700

Other identifiers 1

IdentifierTypeStateIssuer
00665915AMedicaidGA

National Provider Directory

National Provider Directory

Locations

2214 Gateway Dr
Opelika, AL 36801
Phone (706) 322-1700

2425 Brookstone Centre Pkwy
Columbus, GA 31904
Phone (706) 322-1700

874 Lanier Ave W
Fayetteville, GA 30214
Phone (770) 683-7873

1755 Highway 34 E
Ste 3400
Newnan, GA 30265
Phone 67881755426

10 Market Square Way
Ste 200
Newnan, GA 30265
Phone (866) 577-8427

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639224801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 BROOKSTONE CENTRE PKWY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319044501",
            "telephone_number": "706-322-1700",
            "fax_number": "706-320-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 BROOKSTONE CENTRE PKWY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319044501",
            "telephone_number": "706-322-1700",
            "fax_number": "706-320-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOCRINE CONSULTANTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WANGLE",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "706-322-1700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "040452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00665915A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.