Active NPI
The Columbus Orthopaedic Clinic, P.a.
- Durable Medical Equipment & Medical Supplies
- Meridian, MS
National Provider Identifier
1801607171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- THE COLUMBUS ORTHOPAEDIC CLINIC, P.A.
- Practice address
- 5002 Highway 39 N BLDG C
Meridian, MS 39301-1078 - Phone
- (601) 385-9111
- NPI assigned
- Jan 16, 2025
- Last updated
- Jan 16, 2025
- Organization subpart
- Yes
- Parent organization
- THE COLUMBUS ORTHOPAEDIC CLINIC, P.A.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tammy J Gavin
- Title
- Practice Admin/Credentialing
- Phone
- (662) 370-1014
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
5002 Highway 39 N BLDG C
Meridian, MS 39301-1078
Mailing address
670 Leigh Dr
Columbus, MS 39705-3014
Phone (662) 328-1012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250502002644 | MS | DME Supplier - Physician - Orthopedic/Orthopedic Surgery | 5890751945 | Practice locations: Meridian, MS |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Durable Medical Equipment & Medical Supplies
- Starkville, MS
- NPI 1447028352
5890751945
-
- Orthopaedic Surgery Physician
- Columbus, MS
- NPI 1740287374
5890751945
National Provider Directory
National Provider Directory- Tax ID family
- Charles Rhea MD
- Part of
- Charles Rhea MD
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Meridian, MS
- NPI 1225849599
-
- Durable Medical Equipment & Medical Supplies
- Louisville, MS
- NPI 1336917244
-
- Durable Medical Equipment & Medical Supplies
- Starkville, MS
- NPI 1447028352
-
- Durable Medical Equipment & Medical Supplies
- Ackerman, MS
- NPI 1689442592
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Orthopaedic Surgery Physician
- Columbus, MS
- NPI 1740287374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736985600000",
"number": "1801607171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "670 LEIGH DR",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397053014",
"telephone_number": "662-328-1012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5002 HIGHWAY 39 N BLDG C",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393011078",
"telephone_number": "601-385-9111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE COLUMBUS ORTHOPAEDIC CLINIC, P.A.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THE COLUMBUS ORTHOPAEDIC CLINIC, P.A.",
"enumeration_date": "2025-01-16",
"last_updated": "2025-01-16",
"certification_date": "2025-01-16",
"status": "A",
"authorized_official_last_name": "GAVIN",
"authorized_official_first_name": "TAMMY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRACTICE ADMIN/CREDENTIALING",
"authorized_official_telephone_number": "662-370-1014"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.