Columbus Endoscopy Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

COLUMBUS ENDOSCOPY CENTER, LLC

Practice address

600 Leigh Dr
Columbus, MS 39705-3014

Phone

(662) 327-7525

NPI assigned

Jul 23, 2006

Last updated

Jan 29, 2025By 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

Michael Dowdy

Title

Administrator

Phone

(662) 327-7525

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Listed as

Columbus Endoscopy Center IncCCN 25C0001029

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Samuel A Johnson, MD

  • Specialist
  • Columbus, MS
  • NPI 1083638217
  NPD (past)

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1851312771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 LEIGH DR",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397053014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 LEIGH DR",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397053014",
            "telephone_number": "662-327-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS ENDOSCOPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "DOWDY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "662-327-7525"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00770414",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALACAID",
            "identifier": "009973890",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "4900005076",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roland Franklin Colom, DDS
• Columbus Brace and Limb, Inc
• Columbus Cardiovascular Care PLLC
• Columbus Childrens Clinic
• Columbus Emergency Services, LLC
• Columbus Eye Clinic & Laser Surgery Center
• Columbus Eye Clinic and Laser Surgery Center LTD
• Columbus Family Medical Clinic LLC (Columbus Family Medical Clinic)
• Columbus Hematology & Oncology, PA
• Columbus Jones Enterprises, Inc. (ComForcare Senior Services)

• Ambulatory Surgical Clinic/Center in Columbus, MS
• Providers in Columbus, MS by specialty
• Ambulatory Surgical Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.