Active NPI
Katherine Suzanne Hines, RD, LD, CDE
- Registered Dietitian
- Columbus, GA
National Provider Identifier
1851687461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 002144
- Practice address
- 3740 Woodruff Road
Health Matters of St. Francis
Columbus, GA 31904 - Phone
- (706) 257-7715
- Fax
- (706) 257-7716
- NPI assigned
- Jun 22, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 002144 | GA | Primary |
Addresses
Primary practice location
3740 Woodruff Road
Health Matters of St. Francis
Columbus, GA 31904
Mailing address
2122 Manchester Expressay
St. Francis Hospital
Columbus, GA 31904
Phone (706) 257-7715
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002144 | GA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mac - Macon Road LLC | Current | Accepting new patients |
Locations
2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128
3465 Macon Rd
Ste D
Columbus, GA 31907
Phone (706) 243-3051
Organizations & group practices 1
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.
-
- Clinic/Center
- Columbus, GA
- NPI 1053599043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308700800000",
"number": "1851687461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2122 MANCHESTER EXPRESSAY",
"address_2": "ST. FRANCIS HOSPITAL",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "31904",
"telephone_number": "706-257-7715",
"fax_number": "706-257-7716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3740 WOODRUFF ROAD",
"address_2": "HEALTH MATTERS OF ST. FRANCIS",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "31904",
"telephone_number": "706-257-7715",
"fax_number": "706-257-7716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINES",
"first_name": "KATHERINE",
"middle_name": "SUZANNE",
"name_prefix": "Mrs.",
"credential": "RD, LD, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-22",
"last_updated": "2011-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "002144",
"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 Jun 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.