Retina of Auburn & Metro-Columbus

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

067153 Issued in GA

Legal business name

RETINA OF AUBURN & METRO-COLUMBUS

Practice address

1240 Brookstone Centre Pkwy
Columbus, GA 31904-2954

Phone

(307) 797-2666

NPI assigned

Jun 3, 2016

Last updated

Jul 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ram Peddada, MDNPI 1568471803

Title

Owner

Phone

(307) 797-2666

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL, GA2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ram R Peddada, M.D., D.SC.

  • Ophthalmology Physician
  • Columbus, GA
  • NPI 1568471803

  AL

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467331200000",
    "number": "1780033423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 BROOKSTONE CENTRE PKWY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319042954",
            "telephone_number": "307-797-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 BROOKSTONE CENTRE PKWY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319042954",
            "telephone_number": "307-797-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA OF AUBURN & METRO-COLUMBUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-07-01",
        "status": "A",
        "authorized_official_last_name": "PEDDADA",
        "authorized_official_first_name": "RAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-797-2666",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "067153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheryl Ann Resnick, RN
• Resolution Behavioral Health, LLC
• Resolution Counseling Services, LLC
• Restor Metabolix of Columbus
• Restora Medical Centers
• Cherial Lashawn Revell, NURSE PRACTITIONER
• Deandrea Revels, RBT
• Rajendra N Rewatkar, OTR/L
• Gregg Kevin Reynolds Jr., RBT
• James Frank Reynolds, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.