Organization Active NPI

St. Francis Electrophysiologist Group LLC

  • Clinical Cardiac Electrophysiology Physician
  • Columbus, GA
National Provider Identifier
1942561485
Registry record updated Apr 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
Legal business name
ST. FRANCIS ELECTROPHYSIOLOGIST GROUP LLC
Practice address
2300 Manchester Expy
Ste 1005
Columbus, GA 31904-6877
Phone
(706) 320-3266
Fax
(706) 320-3267
NPI assigned
May 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2015

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

Authorized official

Name
Greg S Hembree
Title
Cfo/SVP
Phone
(706) 320-3751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0001X Primary

Addresses

Primary practice location

2300 Manchester Expy
Ste 1005
Columbus, GA 31904-6877

Mailing address

PO Box 9028
Columbus, GA 31908-9028
Phone (706) 320-3266

Other identifiers 2

IdentifierTypeStateIssuer
003126733AMedicaidGA
138983MedicaidAL

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: venkata.bavikati@gadirect.net
  • Direct secure messaging: venkata.bavikati@sfhga.gadirect.net
  • Direct secure messaging: david.de.lurgio@sfhga.gadirect.net

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428624000000",
    "number": "1942561485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9028",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319089028",
            "telephone_number": "706-320-3266",
            "fax_number": "706-320-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 MANCHESTER EXPY",
            "address_2": "STE 1005",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046877",
            "telephone_number": "706-320-3266",
            "fax_number": "706-320-3267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. FRANCIS ELECTROPHYSIOLOGIST GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-31",
        "last_updated": "2015-04-10",
        "status": "A",
        "authorized_official_last_name": "HEMBREE",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CFO/SVP",
        "authorized_official_telephone_number": "706-320-3751"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003126733A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138983",
            "state": "AL"
        }
    ],
    "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 Apr 10, 2015; 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.