Individual provider Active NPI

Vincent Antonio Naman, M.D.

  • Plastic Surgery Physician
  • Columbus, GA
National Provider Identifier
1942316526
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
040497 Issued in GA
Practice address
1921 Whittlesey Rd
Suite 200
Columbus, GA 31904-3099
Phone
(706) 494-7700
Fax
(706) 494-8800
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 040497 GA Primary

Addresses

Primary practice location

1921 Whittlesey Rd
Suite 200
Columbus, GA 31904-3099

Mailing address

2430 Brookstone Centre Pkwy
Columbus, GA 31904-4501
Phone (706) 494-7700

Other identifiers 1

IdentifierTypeStateIssuer
00665464BMedicaidGA

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
I20110726000604 GA Practitioner - Plastic and Reconstructive Surgery 1052441532 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chattahoochee Plastic Surgery, PCGroup PAC ID 1557332988, 2 clinicians

Practice addresses (Care Compare)

2430 Brookstone Centre Pkwy
Columbus, GA 31904-4501
Phone (706) 494-7700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy25
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
040497GAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brookstone Ambulatory Surgery Center CurrentSince Dec 20, 2010 Accepting new patients
Chattahoochee Plastic Surgery, PC Plastic Surgery CurrentSince Dec 1, 2002 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

2430 Brookstone Centre Pkwy
Columbus, GA 31904
Phone (706) 494-7700

1921 Whittlesey Rd
Ste 200
Columbus, GA 31904
Phone (706) 494-1454

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1942316526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 BROOKSTONE CENTRE PKWY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319044501",
            "telephone_number": "706-494-7700",
            "fax_number": "706-494-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 WHITTLESEY RD",
            "address_2": "SUITE 200",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043099",
            "telephone_number": "706-494-7700",
            "fax_number": "706-494-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMAN",
        "first_name": "VINCENT",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "040497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00665464B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.