Organization Active NPI

Uptown Family Medicine, LLC

  • Family Medicine Physician
  • Columbus, GA
National Provider Identifier
1710048152
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UPTOWN FAMILY MEDICINE, LLC
Practice address
104 14TH St
Columbus, GA 31901-2131
Phone
(706) 571-0011
Fax
(706) 517-0014
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Deborah Charlotte Davis
Title
Office Manager
Phone
(706) 571-0011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

104 14TH St
Columbus, GA 31901-2131

Mailing address

104 14TH St
Columbus, GA 31901-2131
Phone (706) 571-0011

National Provider Directory

National Provider Directory

Locations

104 14th St
Columbus, GA 31901
Phone (706) 507-5437

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710048152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 14TH ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012131",
            "telephone_number": "706-571-0011",
            "fax_number": "706-517-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 14TH ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012131",
            "telephone_number": "706-571-0011",
            "fax_number": "706-517-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPTOWN FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "CHARLOTTE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "706-571-0011",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "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 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.