Individual provider Active NPI

Travis Massengill

  • Internal Medicine Physician
  • Columbus, GA
National Provider Identifier
1740693696
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
83708 Issued in GA
Practice address
2121 Warm Springs Rd
Columbus, GA 31904-7955
Phone
(706) 243-4500
Fax
(706) 243-4503
NPI assigned
Jun 9, 2014
Last updated
Jul 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5151010877 MI
Internal Medicine Physician 207R00000X L283875 MI
Internal Medicine Physician 207R00000X 83708 GA Primary

Addresses

Primary practice location

2121 Warm Springs Rd
Columbus, GA 31904-7955

Mailing address

2121 Warm Springs Rd
Columbus, GA 31904-7955
Phone (706) 243-4500

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
I20190924002851 GA Practitioner - Cardiovascular Disease (Cardiology) 1254626971 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Beaumont Hospital Medial College - NLG, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Diagnostic Center IncGroup PAC ID 3375455884, 25 clinicians
Southeastern Cardiology Associates PCGroup PAC ID 0345272910, 8 clinicians

Practice addresses (Care Compare)

2040 10TH Ave
Columbus, GA 31901-1461
Phone (706) 322-3000

2121 Warm Springs Rd
Columbus, GA 31904-7955
Phone (706) 243-4500

2122 Manchester Expy
Columbus, GA 31904-6878
Phone (706) 320-2773

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.25 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
84.78

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5151010877MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sec2 CurrentSince Aug 9, 2020 Accepting new patients
Columbus Diagnostic Center Inc CurrentSince Mar 1, 2024 Accepting new patients
St. Francis Physician Practices LLC Internal Medicine Current Accepting new patients
Southeastern Cardiology Associates PC CurrentSince Sep 1, 2019 Accepting new patients
Columbus Diagnostic Center Inc CurrentSince Mar 1, 2024 Accepting new patients
St. Francis Physician Practices LLC CurrentSince Jul 12, 2020 Accepting new patients
St Francis Physician Practices LLC CurrentSince Jul 12, 2020 Accepting new patients

Locations

2040 10th Ave
Columbus, GA 31901
Phone (706) 322-3000

2121 Warm Springs Rd
Columbus, GA 31904
Phone (706) 243-4500

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

7500 Veterans Pkwy
Ste B
Columbus, GA 31909
Phone (706) 323-7622

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCCDCA
  • Direct secure messaging: tmassingill410257@direct.hfhs.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1740693696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 WARM SPRINGS RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319047955",
            "telephone_number": "706-243-4500",
            "fax_number": "706-243-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 WARM SPRINGS RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319047955",
            "telephone_number": "706-243-4500",
            "fax_number": "706-243-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSENGILL",
        "first_name": "TRAVIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-09",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5151010877",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "L283875",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "83708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.