Individual provider Active NPI

Marseea Louise Howard, M.D.

  • Diagnostic Radiology Physician
  • Columbus, GA
National Provider Identifier
1710084181
Registry record updated Jul 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
054737 Issued in GA
Practice address
1000 Brookstone Centre Pkwy
Columbus, GA 31904-4675
Phone
(762) 261-3334
Fax
(762) 261-3335
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 054737 GA Primary

Addresses

Primary practice location

1000 Brookstone Centre Pkwy
Columbus, GA 31904-4675

Mailing address

850 Brookstone Centre Pkwy Ste 200
Columbus, GA 31904-9245
Phone (706) 507-4242

Other identifiers 2

IdentifierTypeStateIssuer
440677913AMedicaidGA
136643001OtherGAOTHER STATE MEDICAID PROV

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
I20040805000692 GA Practitioner - Diagnostic Radiology 1254302813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Alabama School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concierge Medicine of Columbus, IncGroup PAC ID 2264787761, 8 clinicians

Practice addresses (Care Compare)

850 Brookstone Centre Pkwy
Suite 200
Columbus, GA 31904-9245
Phone (706) 507-4242

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
054737GAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concierge Medicine of Columbus, Inc CurrentSince Jan 1, 2022 Accepting new patients
Bolivar General Hospital, Inc. Past Accepting new patients
Athens Regional Physician Services, Inc. Past Accepting new patients
Jackson Madison County General Hospital Past Accepting new patients
Metroamerican Radiology Consultants P a Diagnostic Radiology Past Accepting new patients
Bolivar General Hospital, Inc. Past Accepting new patients
Rrsoc LLC PastSince Dec 6, 2022 Accepting new patients

Locations

850 Brookstone Centre Pkwy
Ste 200
Columbus, GA 31904
Phone (706) 507-4242

1000 Brookstone Centre Pkwy
Columbus, GA 31904
Phone (762) 261-3334

Organizations & group practices 7

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689465600000",
    "number": "1710084181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 BROOKSTONE CENTRE PKWY STE 200",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049245",
            "telephone_number": "706-507-4242",
            "fax_number": "706-507-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BROOKSTONE CENTRE PKWY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319044675",
            "telephone_number": "762-261-3334",
            "fax_number": "762-261-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "MARSEEA",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-07-16",
        "certification_date": "2023-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "054737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "440677913A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER STATE MEDICAID PROV",
            "identifier": "136643001",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.