Organization Active NPI

St Francis Integrative Medicine and Wellness Inc

  • Physical Medicine & Rehabilitation Physician
  • Columbus, GA
National Provider Identifier
1821356882
Registry record updated Apr 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
ST FRANCIS INTEGRATIVE MEDICINE AND WELLNESS INC
Practice address
5771 Veterans Pkwy
Suite A2
Columbus, GA 31904-9091
Phone
(706) 507-0777
Fax
(706) 660-0805
NPI assigned
Apr 27, 2012
Last updated
Apr 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2012

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

Authorized official

Name
Dr. Ryan Overton, DCNPI 1598719031
Title
President
Phone
(706) 507-0777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

5771 Veterans Pkwy
Suite A2
Columbus, GA 31904-9091

Mailing address

5771 Veterans Pkwy
Suite A2
Columbus, GA 31904-9091
Phone (706) 507-0777

National Provider Directory

National Provider Directory

Locations

5771 Veterans Pkwy
Ste A2
Columbus, GA 31904
Phone (706) 507-0777

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335484800000",
    "number": "1821356882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5771 VETERANS PKWY",
            "address_2": "SUITE A2",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049091",
            "telephone_number": "706-507-0777",
            "fax_number": "706-660-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5771 VETERANS PKWY",
            "address_2": "SUITE A2",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049091",
            "telephone_number": "706-507-0777",
            "fax_number": "706-660-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST FRANCIS INTEGRATIVE MEDICINE AND WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2012-04-27",
        "status": "A",
        "authorized_official_last_name": "OVERTON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-507-0777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "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 Apr 27, 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.