Organization Active NPI

The Columbus Orthopaedic Clinic, P.a.

  • Durable Medical Equipment & Medical Supplies
  • Meridian, MS
National Provider Identifier
1801607171
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
THE COLUMBUS ORTHOPAEDIC CLINIC, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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).

National Provider Directory

National Provider Directory
Tax ID family
Charles Rhea MD5 organizations share this tax ID, including this one
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.

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.

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.

Verify at the official NPI Registry.