Columbus Dermatology, PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

6696501 Issued in GA

Legal business name

COLUMBUS DERMATOLOGY, PC

Practice address

7301 Blackmon Rd
Columbus, GA 31909-4478

Phone

(706) 568-2700

Fax

(706) 568-2705

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Anne Gagne

Title

Practice Administrator

Phone

(706) 568-2700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932280229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 BLACKMON RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319094478",
            "telephone_number": "706-568-2700",
            "fax_number": "706-568-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 BLACKMON RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319094478",
            "telephone_number": "706-568-2700",
            "fax_number": "706-568-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS DERMATOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAGNE",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "706-568-2700"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "GA",
            "license": "6696501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Columbus Clinic PC (Columbus Clinic Specialty Building)
• Columbus Clinic, P.C.
• Columbus Couseling Associates LLC
• Columbus Custom RX, LLC (Columbus Custom Rx Pharmacy: Compounding and Wellness)
• Columbus Department of Public Health
• Columbus Diabetes & Wound Care Center LLC
• Columbus Diagnostic Center Inc
• Columbus Diagnostic Center Inc (CDC Northside)
• Columbus Diagnostic Center Inc
• Columbus Endodontics LLC

• Medical Specialty Clinic/Center in Columbus, GA
• Providers in Columbus, GA by specialty
• Medical Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.