Individual provider Active NPI

Maria Elizabeth Borelli, M.D.

  • Family Medicine Physician
  • Columbus, GA
National Provider Identifier
1689868960
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
63144 Issued in GA
Practice address
106 Enterprise CT
Suite a
Columbus, GA 31904-9227
Phone
(706) 321-2555
Fax
(706) 323-0245
NPI assigned
Aug 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 63144 GA Primary

Addresses

Primary practice location

106 Enterprise CT
Suite a
Columbus, GA 31904-9227

Mailing address

106 Enterprise CT
Suite C
Columbus, GA 31904-9227
Phone (706) 321-0476

Other identifiers 1

IdentifierTypeStateIssuer
63144OtherGAGA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100104000001 GA Practitioner - Family Practice 1557402245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Morehouse School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Horizons Diagnostics, L.L.C.Group PAC ID 1951399724, 24 clinicians

Practice addresses (Care Compare)

106 Enterprise CT
Suite a
Columbus, GA 31904-9096
Phone (706) 321-2555

Hospital & facility affiliations

  • Prohealth Home Health-Georgia, LLC Home health agency, Columbus, GA, CCN 117140
  • Enhabit Home Health Home health agency, Columbus, GA, CCN 117306
  • Prohealth Home Health Home health agency, Auburn, AL, CCN 017063
  • St Francis Hospital- Emory Healthcare Hospital, Columbus, GA, CCN 110129
  • Piedmont Columbus Regional Midtown Hospital, Columbus, GA, CCN 110064

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
63144GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Horizons Diagnostics, L.L.C. Family Medicine CurrentSince Oct 10, 2009 Accepting new patients
Horizons Diagnostics, L.L.C. CurrentSince Oct 10, 2009 Accepting new patients

Locations

106 Enterprise Ct
Ste A
Columbus, GA 31904
Phone (706) 321-2555

106 Enterprise Ct
Ste C
Columbus, GA 31904
Phone (706) 221-6448

3934 Woodruff Rd
Columbus, GA 31904
Phone (706) 321-0476

1310 13th Ave
Ste 100
Columbus, GA 31901
Phone (706) 321-0476

1900 10th Ave
Ste 211
Columbus, GA 31901
Phone (334) 699-5747

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDJDBA
  • Direct secure messaging: maria.borelli@hdl.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1689868960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 ENTERPRISE CT",
            "address_2": "SUITE C",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049227",
            "telephone_number": "706-321-0476",
            "fax_number": "706-321-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 ENTERPRISE CT",
            "address_2": "SUITE A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049227",
            "telephone_number": "706-321-2555",
            "fax_number": "706-323-0245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORELLI",
        "first_name": "MARIA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-30",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "63144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA LICENSE",
            "identifier": "63144",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.