Active NPI
Pierre Richard Fequiere, MD
- Neurology with Special Qualifications in Child Neurology Physician
- Columbus, GA
National Provider Identifier
1952575763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- 081263
- Practice address
- 705 17TH St Ste 106
Columbus, GA 31901 - Phone
- (706) 321-3760
- NPI assigned
- Apr 14, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromuscular Medicine (Psychiatry & Neurology) Physician | 2084N0008X | 081263 | GA | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 081263 | GA | Primary |
Addresses
Primary practice location
705 17TH St Ste 106
Columbus, GA 31901
Mailing address
PO Box 1038
Columbus, GA 31902-1038
Phone (706) 494-4300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 081263 | GA | MD | Neuromuscular Medicine (Psychiatry & Neurology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbus Ambulatory Healthcare Services, Inc. | Current | Accepting new patients | |
| University of Alabama Health Services Foundation, PC | Current | Accepting new patients | |
| Columbus Ambulatory Healthcare Services, Inc. | Current | Accepting new patients | |
| University of Alabama Health Services Foundation, PC. | Current | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Locations
703 Volker Hall
Birmingham, AL 35294
Phone (205) 638-9587
1600 7th Ave S
Birmingham, AL 35233
Phone (205) 638-9100
1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120
705 17th St
Ste 106
Columbus, GA 31901
Phone (706) 289-5982
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Columbus, GA
- NPI 1790733244
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
-
- Family Medicine Physician
- Phenix City, AL
- NPI 1699240531
-
- Pediatrics Physician
- Birmingham, AL
- NPI 1356377576
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536883200000",
"number": "1952575763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1038",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319021038",
"telephone_number": "706-494-4300",
"fax_number": "706-660-2847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 17TH ST STE 106",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "31901",
"telephone_number": "706-321-3760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEQUIERE",
"first_name": "PIERRE",
"middle_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-14",
"last_updated": "2018-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0008X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neuromuscular Medicine",
"state": "GA",
"license": "081263",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "GA",
"license": "081263",
"primary": true
}
],
"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 Sep 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.