Individual provider Active NPI

Jaime L Vivas, M.D.

  • Rheumatology Physician
  • Columbus, GA
National Provider Identifier
1700981503
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
27680 Issued in GA
Practice address
5605 Princeton Ave Ste B
Columbus, GA 31904-9069
Phone
(706) 660-1711
Fax
(706) 660-1713
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 27680 GA 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

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
I20101117001232 GA Practitioner - Rheumatology 0840485736 Practice locations: Columbus, GA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27680GAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jaime L. Vivas, MD Rheumatology PastSince Jan 1, 1989 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1700981503",
    "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": {
        "last_name": "VIVAS",
        "first_name": "JAIME",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "GA",
            "license": "27680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.