Individual provider Active NPI

Thomas R. Walsh, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Columbus, GA
National Provider Identifier
1912940941
Registry record updated Jul 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
035537 Issued in GA
Practice address
2300 Manchester Expy
Ste A6
Columbus, GA 31904-6802
Phone
(706) 596-4225
Fax
(706) 323-3425
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 035537 GA
Orthopaedic Surgery of the Spine Physician 207XS0117X 035537 GA Primary

Addresses

Primary practice location

2300 Manchester Expy
Ste A6
Columbus, GA 31904-6802

Mailing address

PO Box 7217
Columbus, GA 31908-7217
Phone (706) 596-4225

Other identifiers 3

IdentifierTypeStateIssuer
388406095MedicaidGA
511I200027OtherGAMEDICARE PTAN
100941MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040728000561 GA Practitioner - Orthopedic SurgeryPractitioner - Neurosurgery 6709856743 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
035537GAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis Physician Practices LLC Orthopaedic Surgery CurrentSince Jan 1, 2016 Accepting new patients
St. Francis Physician Practices LLC Current Accepting new patients

Locations

2300 Manchester Expy
Ste A006
Columbus, GA 31904
Phone (706) 322-1651

2300 Manchester Expy
Ste A101A
Columbus, GA 31904
Phone (706) 320-3128

Interoperability endpoints

  • Direct secure messaging: thomas.walsh@sfhga.gadirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437955200000",
    "number": "1912940941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7217",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319087217",
            "telephone_number": "706-596-4225",
            "fax_number": "706-323-3425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 MANCHESTER EXPY",
            "address_2": "STE A6",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046802",
            "telephone_number": "706-596-4225",
            "fax_number": "706-323-3425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "THOMAS",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2015-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "035537",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "GA",
            "license": "035537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "388406095",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "511I200027",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100941",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.