Organization Active NPI

Tree of Life Heathcare, Inc.

  • Clinic/Center
  • Columbus, GA
National Provider Identifier
1811326655
Registry record updated Nov 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
RN085223 Issued in GA
Legal business name
TREE OF LIFE HEATHCARE, INC.
Practice address
1968 North Ave
Columbus, GA 31901-1525
Phone
(706) 225-0355
Fax
(706) 225-0360
NPI assigned
Nov 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2013

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

Authorized official

Name
Mr. Lowell Cliatt
Title
President / Ceo
Phone
(706) 225-0355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X RN085223 GA Primary

Addresses

Primary practice location

1968 North Ave
Columbus, GA 31901-1525

Mailing address

PO Box 9205
Columbus, GA 31908-9205
Phone (706) 225-0355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170516002318 GA Part B Supplier - Clinic/Group Practice 9234406539 Receives reassigned benefits from 2 practitioners
Practice locations: Columbus, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383350400000",
    "number": "1811326655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9205",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319089205",
            "telephone_number": "706-225-0355",
            "fax_number": "706-225-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1968 NORTH AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011525",
            "telephone_number": "706-225-0355",
            "fax_number": "706-225-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE OF LIFE HEATHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-02",
        "status": "A",
        "authorized_official_last_name": "CLIATT",
        "authorized_official_first_name": "LOWELL",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "706-225-0355",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "RN085223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2013; 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.