NPIMap

Individual provider Active NPI

Stephen Donald Raborn, M.D.

  • Specialist
  • Columbus, GA
National Provider Identifier
1831285683
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036602 Issued in GA
Practice address
1942 North Avenue
Columbus, GA 31901
Phone
(706) 596-1245
Fax
(706) 576-4245
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 036602 GA Primary

Addresses

Primary practice location

1942 North Avenue
Columbus, GA 31901

Mailing address

1942 North Avenue
Columbus, GA 31901
Phone (706) 596-1245

Other identifiers 3

IdentifierTypeStateIssuer
00662285FMedicaidGA
60027665OtherALBCBS OF ALABAMA
851874OtherGABCBS OF GEORGIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120119000031 GA Practitioner - Internal Medicine 8022134519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wake Forest University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Internal Medicine Associates of Columbus, LLCGroup PAC ID 5395739262, 3 clinicians

Practice addresses (Care Compare)

1942 N Ave
Columbus, GA 31901-1525
Phone (706) 596-1245

5900 River Rd
Suite 400
Columbus, GA 31904-4663
Phone (706) 596-1245

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Columbus, GA, CCN 117306
  • Amedisys Home Health of Macon Home health agency, Macon, GA, CCN 117093
  • Centerwell Home Health Home health agency, Columbus, GA, CCN 117056
  • Piedmont Columbus Regional Midtown Hospital, Columbus, GA, CCN 110064
  • St Francis Hospital- Emory Healthcare Hospital, Columbus, GA, CCN 110129
  • Piedmont Columbus Regional Northside Hospital, Columbus, GA, CCN 110200
  • Rehabilitation Hospital of Columbus Inpatient rehabilitation facility, Columbus, GA, CCN 113036

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Associates of Columbus, LLC Specialist CurrentSince Jan 1, 2003 Accepting new patients
Internal Medicine Education & Research Foundation of Columbus, Inc Past Accepting new patients
Internal Medicine Education and Research Foundation Past Accepting new patients
Pulmonary Medicine Inc Past Accepting new patients
Rehabilitation Hospital of Columbus, LLC Past Accepting new patients

Locations

4401 Riverchase Dr
Phenix City, AL 36867
Phone (334) 732-3000

1942 North Ave
Columbus, GA 31901
Phone (706) 320-8751

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831285683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1942 NORTH AVENUE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "31901",
            "telephone_number": "706-596-1245",
            "fax_number": "706-576-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 NORTH AVENUE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "31901",
            "telephone_number": "706-596-1245",
            "fax_number": "706-576-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABORN",
        "first_name": "STEPHEN",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "036602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00662285F",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "60027665",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF GEORGIA",
            "identifier": "851874",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.