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St Francis Physician Practices LLC

Organization Active NPI Surgery Physician · Columbus, GA

NPI 1679948012 · NPPES record last updated Dec 10, 2015

Key facts

NPI
1679948012
Entity type
Organization (NPI type 2)
Primary specialty
Surgery Physician 208600000X
Legal business name
ST FRANCIS PHYSICIAN PRACTICES LLC
Practice address
3726 Woodruff Rd
Columbus, GA 31904-5601
Phone
(706) 257-7680
Fax
(706) 257-7681
NPI assigned
Dec 10, 2015
Organization subpart
No

Authorized official

Name
Jess Judy
Title
President
Phone
(615) 920-7000

Other NPIs on the same Medicare enrollment 23

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 14

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 4

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20160120002073 GA Part B Supplier - Clinic/Group Practice 8729381033 Receives reassigned benefits from 295 practitioners
23 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lagrange, GA; Columbus, GA; Gainesville, GA; Braselton, GA

National Provider Directory

Tax ID family
St Francis Physician Practices LLC (15 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Y00000X
Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208600000X Yes
Vascular Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2086S0129X

Addresses

Primary practice location

3726 Woodruff Rd
Columbus, GA 31904-5601

Mailing address

3726 Woodruff Rd
Columbus, GA 31904-5601
Phone (706) 257-7680

Other names

  • St. Francis Wound Care Physicians Doing business as

Other providers in Columbus, GA

All providers in Columbus, GA · Surgery Physician in Georgia

Sources for this page

Verify at the official NPI Registry.