Columbus Physical Medicine Center, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

029865 Issued in GA

Legal business name

COLUMBUS PHYSICAL MEDICINE CENTER, INC.

Practice address

118 Enterprise CT
Suite B
Columbus, GA 31904-9229

Phone

(706) 225-7008

NPI assigned

Jan 23, 2013

Organization subpart

No

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

Authorized official

Name

Eric N CodnerNPI 1396766879

Title

Owner/Partner

Phone

(706) 330-1389

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric N Codner, DC

  • Chiropractor
  • Americus, GA
  • NPI 1396766879
  Medicare reassignment Care Compare group NPD Authorized official
• Katherine Marie Wallace, NP-C

  • Adult Health Nurse Practitioner
  • Columbus, GA
  • NPI 1548650617
  Medicare reassignment Care Compare group NPD
• Brandi Crowley, FNP

  • Nurse Practitioner
  • Americus, GA
  • NPI 1346917838
  Medicare reassignment NPD
• Anthony A Olofintuyi, M.D.

  • Internal Medicine Physician
  • Columbus, GA
  • NPI 1144384827
  Medicare reassignment NPD

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1922346162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 ENTERPRISE CT",
            "address_2": "SUITE B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049229",
            "telephone_number": "706-225-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 ENTERPRISE CT",
            "address_2": "SUITE B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049229",
            "telephone_number": "706-225-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS PHYSICAL MEDICINE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-23",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "CODNER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "706-330-1389"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "029865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Columbus Orthopaedic Associates LLC
• Columbus Pain Center, P.C.
• Columbus Palliative Care, Inc.
• Columbus Pathology PC
• Columbus Pediatric Associates, PC
• Columbus Plastic & Cosmetic Surgery Clinic, PC
• Columbus Plastic Surgery, P.C.
• Columbus Primary Care Internal Medicine PC
• Columbus PSR/Peer Center
• Columbus Psychological Assoc.

• Family Medicine Physician in Columbus, GA
• Providers in Columbus, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.