Columbus Family Medicine, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COLUMBUS FAMILY MEDICINE, LLC

Practice address

2827 Warm Springs Rd
3B
Columbus, GA 31904-5246

Phone

(706) 324-4177

Fax

(706) 322-9637

NPI assigned

Mar 8, 2017

Organization subpart

No

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

Authorized official

Name

Glenn E Fussell, MDNPI 1861509184

Title

Managing Partner

Phone

(706) 324-4177

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Glenn Edward Fussell, M.D.

  • Family Medicine Physician
  • Columbus, GA
  • NPI 1861509184
  Medicare reassignment NPD Authorized official
• Kaitlyn Pierce, DNP, FNP-C

  • Family Nurse Practitioner
  • Columbus, GA
  • NPI 1285418392
  NPD
• Sandi Clark Coker, NP

  • Family Nurse Practitioner
  • Columbus, GA
  • NPI 1730949223
  NPD (past)
• Ladonna K Ledford, NP

  • Nurse Practitioner
  • Columbus, GA
  • NPI 1649203357
  NPD (past)

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515974400000",
    "number": "1639619737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2827 WARM SPRINGS RD",
            "address_2": "3B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319045246",
            "telephone_number": "706-324-4177",
            "fax_number": "706-322-9637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2827 WARM SPRINGS RD",
            "address_2": "3B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319045246",
            "telephone_number": "706-324-4177",
            "fax_number": "706-322-9637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-08",
        "last_updated": "2018-01-15",
        "status": "A",
        "authorized_official_last_name": "FUSSELL",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "706-324-4177",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000330063C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Columbus Diagnostic Center Inc
• Columbus Endodontics LLC
• Columbus Endoscopy Center LLC
• Columbus Eye Associates, P.C.
• Columbus Family Medicine Associates
• Columbus Foot & Ankle PC
• Columbus Foot Care Associates PC
• Columbus Ga Homecare, LLC
• Columbus Georgia Consolidated Government
• Columbus Gynecology Oncology Management Services, LLC

• Family Medicine Physician in Columbus, GA
• Providers in Columbus, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2018; 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.