Columbus Pulmonary Clinic

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

13124 Issued in MS

Legal business name

COLUMBUS PULMONARY CLINIC

Practice address

255 Baptist Blvd
Ste 302
Columbus, MS 39705-2011

Phone

(662) 327-3195

Fax

(662) 243-1070

NPI assigned

Mar 11, 2008

Last updated

Jul 20, 2012By 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

Ms. Kelli Avery

Title

Office Manager

Phone

(662) 327-3195

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa Annette Dement, FNP

  • Family Nurse Practitioner
  • Hamilton, MS
  • NPI 1619918521
  NPD (past)

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342742400000",
    "number": "1821268467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8401",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397050010",
            "telephone_number": "662-327-3195",
            "fax_number": "662-243-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 BAPTIST BLVD",
            "address_2": "STE 302",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052011",
            "telephone_number": "662-327-3195",
            "fax_number": "662-243-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS PULMONARY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2012-07-20",
        "status": "A",
        "authorized_official_last_name": "AVERY",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "662-327-3195",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MS",
            "license": "13124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00123535",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Columbus Neurosurgical Associates, PLLC
• Columbus OBGYN Specialty Center PLLC
• Columbus Occupational Medicine, PLLC
• Columbus Optical Dispensary
• Columbus Orthopedic Outpatient
• Columbus Smile PLLC (Ascent Dental)
• Columbus Surgery Associates
• Columbus Surgical Center PLLC
• Columbus Urology Group PLLC
• Columbus Urology PLLC

• Pulmonary Disease Physician in Columbus, MS
• Providers in Columbus, MS by specialty
• Pulmonary Disease Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; 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.