Columbus Diabetes & Wound Care Center LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

COLUMBUS DIABETES & WOUND CARE CENTER LLC

Practice address

2300 Manchester Expy Ste H202
Columbus, GA 31904-6803

Phone

(706) 257-7680

Fax

(706) 257-7681

NPI assigned

Jan 29, 2025

Organization subpart

No

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

Authorized official

Name

Tyler Stout

Title

Manager

Phone

(337) 315-7927

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GDJHDD

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paige Preston Bence, FNP-BC

  • Family Nurse Practitioner
  • Columbus, GA
  • NPI 1457867871
  Medicare reassignment Care Compare group NPD
• Larhonda Randolph

  • Family Nurse Practitioner
  • Columbus, GA
  • NPI 1629890843
  Medicare reassignment Care Compare group NPD
• James Davant Majors, M.D.

  • Surgery Physician
  • Columbus, GA
  • NPI 1699875963
  Medicare reassignment NPD
• Victor Keith Knutzen, MD, FACS, FACOG.

  • Obstetrics & Gynecology Physician
  • Las Vegas, NV
  • NPI 1255679320

  Family Medicine, GA

  Medicare reassignment NPD
• Michael J. Borkat, M.D.

  • Surgery Physician
  • Columbus, GA
  • NPI 1841365525
  NPD (past)

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785542400000",
    "number": "1710790100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 MANCHESTER EXPY STE H202",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046803",
            "telephone_number": "706-257-7680",
            "fax_number": "706-257-7681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 MANCHESTER EXPY STE H202",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046803",
            "telephone_number": "706-257-7680",
            "fax_number": "706-257-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS DIABETES & WOUND CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-29",
        "last_updated": "2026-08-01",
        "certification_date": "2026-08-01",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "337-315-7927"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Columbus Clinic, P.C.
• Columbus Couseling Associates LLC
• Columbus Custom RX, LLC
• Columbus Department of Public Health
• Columbus Dermatology, PC
• Columbus Diagnostic Center Inc
• Columbus Diagnostic Center Inc
• Columbus Diagnostic Center Inc
• Columbus Endodontics LLC
• Columbus Endoscopy Center LLC

• Surgery Physician in Columbus, GA
• Providers in Columbus, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.