Active NPI
Anthony Todde Securo, MD
- Family Medicine Physician
- Columbus, GA
National Provider Identifier
1912077967
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jul 20, 2021.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 051736
- Practice address
- 2009 Warm Springs Rd
Columbus, GA 31904-7931 - Phone
- (706) 320-0055
- Fax
- (706) 576-5513
- NPI assigned
- Nov 8, 2006
- Last updated
- Sep 20, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 051736 | GA | Primary |
Addresses
Primary practice location
2009 Warm Springs Rd
Columbus, GA 31904-7931
Mailing address
2009 Warm Springs Rd
Columbus, GA 31904-7931
Phone (706) 320-0055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051736 | Other | GA | GA LICENSCE |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051736 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gwinnett Clinic LTD | Past | Accepting new patients | |
| Jesup Emergency Services, LLC | Past | Accepting new patients | |
| Hospital Authority of Wayne County Georgia | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Community Home Care
- Home Health Agency
- Jesup, GA
- NPI 1699779405
-
- Emergency Medicine Physician
- Jesup, GA
- NPI 1699733832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474329600000",
"number": "1912077967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2009 WARM SPRINGS RD",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319047931",
"telephone_number": "706-320-0055",
"fax_number": "706-576-5513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2009 WARM SPRINGS RD",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319047931",
"telephone_number": "706-320-0055",
"fax_number": "706-576-5513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SECURO",
"first_name": "ANTHONY",
"middle_name": "TODDE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2016-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "051736",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GA LICENSCE",
"identifier": "051736",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, GA
- Sebastian O. Hubbuch III M.D. (Chattahoochee Valley Cardiology M.D., P.C.)
- Sebastian O. Hubbuch M.D. (Chattahoochee Valley Cardiology MD, P.C)
- William Ralph Sebastian, RPH
- Sec2
- Michael Eugene Seckinger Sr., CN
- Seedgrow ABA Inc.
- Kathryn Seeling
- Seleena Segura
- Shania Joselle Seibles, D.O.
- Haley Seifert
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.