Organization Active NPI

Jaime L. Vivas, MD

  • Rheumatology Physician
  • Columbus, GA
National Provider Identifier
1659138428
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
JAIME L. VIVAS, MD
Practice address
5605 Princeton Ave Ste B
Columbus, GA 31904-9069
Phone
(706) 660-1711
Fax
(706) 660-1713
NPI assigned
Feb 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Authorized official

Name
Fe Serralles Vivas
Title
Office Administrator
Phone
(706) 660-1711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

5605 Princeton Ave Ste B
Columbus, GA 31904-9069

Mailing address

5605 Princeton Ave Ste B
Columbus, GA 31904-9069
Phone (706) 660-1711

National Provider Directory

National Provider Directory

Locations

5605 Princeton Ave
Ste B
Columbus, GA 31904
Phone (706) 323-8811

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1659138428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5605 PRINCETON AVE STE B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049069",
            "telephone_number": "706-660-1711",
            "fax_number": "706-660-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5605 PRINCETON AVE STE B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049069",
            "telephone_number": "706-660-1711",
            "fax_number": "706-660-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAIME L. VIVAS, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "SERRALLES VIVAS",
        "authorized_official_first_name": "FE",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "706-660-1711"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 28, 2024; 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.