Sunil John, MD
Individual provider Active NPI Internal Medicine Physician · Columbus, GA
NPI 1821074261 · NPPES record last updated Jul 29, 2015
Key facts
- NPI
- 1821074261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 050530 (GA)
- Practice address
- 2122 Manchester Expressway
Columbus, GA 31904-6878 - Phone
- (706) 320-2773
- Fax
- (706) 595-4226
- NPI assigned
- Dec 19, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southeastern Hospitalist Services PC
St Francis Physician Practices LLC
Practice addresses (Care Compare)
2122 Manchester Expy
Columbus, GA 31904-6878
Phone (706) 596-4000
2300 Manchester Expy
BLDG H Suite 202
Columbus, GA 31904-6802
Phone (706) 320-3090
Hospital & facility affiliations
- St Francis Hospital- Emory Healthcare
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090804000578 | GA | Practitioner - Internal Medicine | 6002896537 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24159 | AL | MD | Pharmacist |
| 38873 | TN | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Francis Physician Practices LLC | Current |
Accepting new patients | |
| St. Francis Physician Practices LLC | Current |
Accepting new patients | |
| Southeastern Hospitalist Services PC | Internal Medicine | Current |
Accepting new patients |
| Inpatient Medical Services, PC | Hospitalist | Past | Accepting new patients |
| Inpatient Consultants of Tennessee, P.C. | Internal Medicine | Past | Accepting new patients |
| St Francis Health LLC | Past | Accepting new patients | |
| Valley Medical & Surgical Clinic, P.C. | Internal Medicine | Past | Accepting new patients |
Locations
2300 Manchester Expy
Ste H202
Columbus, GA 31904
Phone (706) 320-3090
2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 38873 | TN | |
| Internal Medicine Physician | 207R00000X | 050530 | GA | Yes |
Addresses
Primary practice location
2122 Manchester Expressway
Columbus, GA 31904-6878
Mailing address
PO Box 8147
Columbus, GA 31908-8147
Phone (706) 320-2773
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112195 | Medicaid | AL | |
| 000959659 | Medicaid | GA |
Other providers in Columbus, GA
- John M Henderson DO PC
- John S Avant, DDS, PC
- John T Doheny III LPC
- Jaimy Raichel John
- Jayashree Sunil John
- Trishad Sunil John
- Johnson Family Practice LLC
- Ada Johnson
- Adrie Johnson
- Aishya Johnson
All providers in Columbus, GA · Internal Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.