South Columbus Family Practice

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

License

036581 Issued in GA

Legal business name

SOUTH COLUMBUS FAMILY PRACTICE

Practice address

4000 Saint Marys Rd
Columbus, GA 31907-7626

Phone

(706) 685-2770

Fax

(706) 685-3299

NPI assigned

May 1, 2007

Organization subpart

No

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

Authorized official

Name

Shabbir Motiwala

Title

MD

Phone

(706) 685-2770

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Suja P Antony, NP

  • Primary Care Nurse Practitioner
  • Columbus, GA
  • NPI 1255819447
  NPD

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659592137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 SAINT MARYS RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319077626",
            "telephone_number": "706-685-2770",
            "fax_number": "706-685-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 SAINT MARYS RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319077626",
            "telephone_number": "706-685-2770",
            "fax_number": "706-685-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COLUMBUS FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOTIWALA",
        "authorized_official_first_name": "SHABBIR",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "706-685-2770"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "GA",
            "license": "036581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "303731",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John E Soltau, CRNA
• Dan Song
• Haidi Song
• Curtis Sorensen, MD
• Magaly Souchet
• Shannon Paige South, PHARM.D.
• Raquelle R Southard, SLP
• Southeast Brain & Spine Surgery, P.C.
• Southeast Brain and Spine PC
• Southeast Lung & Critical Care Specialists, PC

• Hospice and Palliative Medicine (Family Medicine) Physician in Columbus, GA
• Providers in Columbus, GA by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in Georgia

• 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.