Columbus Joint Pain Solutions and Functional Medicine, LLC

Primary specialty

Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X

Legal business name

COLUMBUS JOINT PAIN SOLUTIONS AND FUNCTIONAL MEDICINE, LLC

Practice address

118 Enterprise CT Ste a
Columbus, GA 31904-9228

Phone

(706) 330-1389

NPI assigned

Feb 23, 2024

Last updated

Feb 23, 2024By 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

Chelsea Fountain

Title

Director

Phone

(229) 591-8216

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 5

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.

• Katherine Marie Wallace, NP-C

  • Adult Health Nurse Practitioner
  • Columbus, GA
  • NPI 1548650617
  Medicare reassignment NPD
• Eric N Codner, DC

  • Chiropractor
  • Americus, GA
  • NPI 1396766879
  NPD (past)
• Anthony Vincent Ditaranto, MD

  • General Practice Physician
  • Columbus, GA
  • NPI 1003951591
  NPD (past)
• Donna M Duncan, PAC

  • Physician Assistant
  • Columbus, GA
  • NPI 1154332146
  NPD (past)
• Anthony A Olofintuyi, M.D.

  • Internal Medicine Physician
  • Columbus, GA
  • NPI 1144384827
  NPD (past)

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1841056140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 ENTERPRISE CT STE A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 ENTERPRISE CT STE A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049228",
            "telephone_number": "706-330-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS JOINT PAIN SOLUTIONS AND FUNCTIONAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "FOUNTAIN",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "229-591-8216"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Columbus Hand Institute LLC
• Columbus Home Care Services
• Columbus Home Medical Equipment, Inc.
• Columbus Hospice, Inc.
• Columbus Hospitalist Services, LLC
• Columbus Medical Associates
• Columbus Medical Oncology Associates, P.C.
• Columbus Memory Center, PC
• Columbus Oral & Maxillofacial Surgery PC
• Columbus Orthopaedic Associates LLC

• Sports Medicine (Internal Medicine) Physician in Columbus, GA
• Providers in Columbus, GA by specialty
• Sports Medicine (Internal Medicine) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.