Active NPI
Uptown Family Medicine, LLC
- Family Medicine Physician
- Columbus, GA
National Provider Identifier
1710048152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryLocations
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.