NPIMap

Organization Active NPI

Columbus Foot & Ankle PC

  • Podiatrist
  • Columbus, GA
National Provider Identifier
1932281797
Registry record updated Nov 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
000895 Issued in GA
Legal business name
COLUMBUS FOOT & ANKLE PC
Practice address
1013 Centre Brook CT
Suite B
Columbus, GA 31904-4573
Phone
(706) 653-5501
Fax
(706) 653-5504
NPI assigned
Oct 20, 2006
Last updated
Nov 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2012

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

Authorized official

Name
Shannon Pace
Title
Billing Manager
Phone
(706) 653-5501

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X 000895 GA Primary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X 009080 GA
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X 000814 GA
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X 236 AL

Addresses

Primary practice location

1013 Centre Brook CT
Suite B
Columbus, GA 31904-4573

Mailing address

1013 Centre Brook CT
Suite B
Columbus, GA 31904-4573
Phone (706) 653-5501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040216000304 GA Part B Supplier - Clinic/Group Practice 2365337888 Receives reassigned benefits from 2 practitioners
Practice locations: Columbus, GA

National Provider Directory

National Provider Directory

Locations

1013 Centre Brook Ct
Ste B
Columbus, GA 31904
Phone (706) 653-5501

2301 Brookstone Centre Pkwy
Ste 200
Columbus, GA 31904
Phone (706) 573-6545

7351 Old Moon Rd
Ste B
Columbus, GA 31909
Phone (706) 653-5501

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1932281797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 CENTRE BROOK CT",
            "address_2": "SUITE B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319044573",
            "telephone_number": "706-653-5501",
            "fax_number": "706-653-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 CENTRE BROOK CT",
            "address_2": "SUITE B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319044573",
            "telephone_number": "706-653-5501",
            "fax_number": "706-653-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS FOOT & ANKLE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "706-653-5501"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "000895",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "009080",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "000814",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "AL",
            "license": "236",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Nov 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.