Organization Active NPI

Winship Clinic,P.C.

  • Legal Medicine
  • Columbus, GA
National Provider Identifier
1902013709
Registry record updated Dec 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
040477 Issued in GA
Legal business name
WINSHIP CLINIC,P.C.
Practice address
2401 Brookstone Centre Pkwy
BLDG. 200
Columbus, GA 31904-4501
Phone
(706) 256-0700
Fax
(866) 390-9155
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2012

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

Authorized official

Name
Dr. Elizabeth M Martin, M.D.
Title
Physician/Owner
Phone
(706) 256-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X 040477 GA Primary

Addresses

Primary practice location

2401 Brookstone Centre Pkwy
BLDG. 200
Columbus, GA 31904-4501

Mailing address

PO Box 102748
Atlanta, GA 30368-2748
Phone (706) 256-0700

Other identifiers 1

IdentifierTypeStateIssuer
00672218CMedicaidGA

National Provider Directory

National Provider Directory

Locations

2401 Brookstone Centre Pkwy
#200
Columbus, GA 31904
Phone (706) 256-0700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/261/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355702400000",
    "number": "1902013709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102748",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682748",
            "telephone_number": "706-256-0700",
            "fax_number": "866-390-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 BROOKSTONE CENTRE PKWY",
            "address_2": "BLDG. 200",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319044501",
            "telephone_number": "706-256-0700",
            "fax_number": "866-390-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINSHIP CLINIC,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2012-12-17",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "706-256-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "GA",
            "license": "040477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00672218C",
            "state": "GA"
        }
    ],
    "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 Dec 17, 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.