NPIMap

Organization Active NPI

Columbus Medical Services, LLC

  • Developmental Disabilities Clinic/Center
  • Tampa, FL
National Provider Identifier
1750820908
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
COLUMBUS MEDICAL SERVICES, LLC
Practice address
5550 W Executive Dr Ste 230
Tampa, FL 33609-1046
Phone
(800) 229-5116
NPI assigned
Feb 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2018

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

Authorized official

Name
Kathleen Nolan
Title
Sr. Project Manager
Phone
(800) 229-5116

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

5550 W Executive Dr Ste 230
Tampa, FL 33609-1046

Mailing address

500 E Swedesford Rd
Suite 100
Wayne, PA 19087-1614

Other practice location 1

500 E Swedesford Rd
Suite 100
Wayne, PA 19087-1614
Phone (800) 229-5116

Other identifiers 11

IdentifierTypeStateIssuer
000979052FMedicaidGA
000979052JMedicaidGA
000979052KMedicaidGA
1512668MedicaidTN
000979052DMedicaidGA
000979052HMedicaidGA
000979052IMedicaidGA
201212480AMedicaidIN
201087800AMedicaidIN
000979052GMedicaidGA
000979052EMedicaidGA

Other names 1

  • The Columbus Organization Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Columbus Medical Services LLC37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

Organizations that report the same tax identification number in the National Provider Directory.

View all 36

Locations

5550 W Executive Dr
Ste 230
Tampa, FL 33609

NPI Registry JSON

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540512000000",
    "number": "1750820908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E SWEDESFORD RD",
            "address_2": "SUITE 100",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190871614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 W EXECUTIVE DR STE 230",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091046",
            "telephone_number": "800-229-5116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 E Swedesford Rd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "PA",
            "postal_code": "190871614",
            "country_code": "US",
            "telephone_number": "800-229-5116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COLUMBUS MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-21",
        "last_updated": "2018-10-26",
        "status": "A",
        "authorized_official_last_name": "NOLAN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "SR. PROJECT MANAGER",
        "authorized_official_telephone_number": "800-229-5116"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000979052F",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000979052J",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000979052K",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1512668",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000979052D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000979052H",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000979052I",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201212480A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201087800A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000979052G",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000979052E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Columbus Organization",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Columbus Organization",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; 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.