Columbus Regional Source

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

COLUMBUS REGIONAL SOURCE

Doing business as

Source Case Management

Practice address

1900 10TH Ave
Columbus, GA 31901-3600

Phone

(706) 571-1160

NPI assigned

Dec 5, 2006

Last updated

Aug 22, 2020By 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

Melody Singer

Title

Case Management

Phone

(706) 571-1160

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Source Case Management Doing business as

Tax ID family

Columbus Regional Source2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Columbus Regional Healthcare System

  dba Boutique of JBACC

  • Prosthetic/Orthotic Supplier
  • Columbus, GA
  • NPI 1770763765
  NPD tax ID

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/226/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780742585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 10TH AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319013600",
            "telephone_number": "706-571-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 10TH AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319013600",
            "telephone_number": "706-571-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS REGIONAL SOURCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SINGER",
        "authorized_official_first_name": "MELODY",
        "authorized_official_title_or_position": "CASE MANAGEMENT",
        "authorized_official_telephone_number": "706-571-1160"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85500400G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Source Case Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Columbus Radiation Oncology Associates, P.C. (Tidwell Cancer Treatment Center)
• Columbus Radiation Oncology Treatment Center LLC
• Columbus Radiology, LLC
• Columbus Regional Healthcare System (Boutique of JBACC)
• Columbus Regional Senior Living Inc
• Columbus Rehab Center, LLC
• Columbus Shoulder Surgery & Sports Medicine LLC
• Columbus Sleep Solutions
• Columbus Specialty Hospital
• Columbus Speech & Hearing Center

• Case Manager/Care Coordinator in Columbus, GA
• Providers in Columbus, GA by specialty
• Case Manager/Care Coordinator in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.