Individual provider Active NPI

Eunice A Ampiaw, MD

  • Family Medicine Physician
  • Columbus, GA
National Provider Identifier
1962499137
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
048751 Issued in GA
Practice address
860 Brookstone Centre Pkwy
Columbus, GA 31904-9270
Phone
(706) 507-5320
Fax
(706) 507-4741
NPI assigned
Oct 4, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 048751 GA Primary

Addresses

Primary practice location

860 Brookstone Centre Pkwy
Columbus, GA 31904-9270

Mailing address

PO Box 9247
Columbus, GA 31908-9247
Phone (706) 322-7884

Other identifiers 3

IdentifierTypeStateIssuer
000876631FMedicaidGA
20208I1191OtherGAMEDICARE PTAN
P01367069OtherGARAILROAD MEDICARE

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
I20080905000483 GA Practitioner - Family Practice 1052496411 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Massachusetts Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concierge Medicine of Columbus, IncGroup PAC ID 2264787761, 8 clinicians

Practice addresses (Care Compare)

860 Brookstone Centre Pkwy
Suite a
Columbus, GA 31904-9271
Phone (706) 507-4242

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Columbus, GA, CCN 117306
  • Centerwell Home Health Home health agency, Columbus, GA, CCN 117056
  • St Francis Hospital- Emory Healthcare Hospital, Columbus, GA, CCN 110129
  • Piedmont Columbus Regional Midtown Hospital, Columbus, GA, CCN 110064

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
048751GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Clinic, P.C. Current Accepting new patients
Mac - Macon Road LLC Current Accepting new patients
Concierge Medicine of Columbus, Inc Family Medicine CurrentSince Jan 1, 2023 Accepting new patients
St. Francis Psychiatrist ,LLC Current Accepting new patients
St Francis Affiliated Services LLC CurrentSince Jan 1, 2016 Accepting new patients
St Francis Affiliated Services LLC CurrentSince Jan 1, 2016 Accepting new patients
St Francis Affiliated Services LLC Family Medicine Current Accepting new patients
St Francis Columbus Clinic LLC Family Medicine Current Accepting new patients
Mac-Lumpkin Rd LLC PastSince Aug 1, 2011 Accepting new patients

Locations

610 19th St
Columbus, GA 31901
Phone (706) 322-7884

1000 Brookstone Centre Pkwy
Columbus, GA 31904
Phone (762) 261-3334

860 Brookstone Centre Pkwy
Columbus, GA 31904
Phone (706) 507-5320

3465 Macon Rd
Ste D
Columbus, GA 31907
Phone (706) 243-3051

860 Brookstone Centre Pkwy
Ste A
Columbus, GA 31904
Phone (706) 507-4242

850 Brookstone Centre Pkwy
Ste 200
Columbus, GA 31904
Phone (706) 507-4242

705 17th St
Columbus, GA 31901
Phone (706) 243-4404

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: eunice.ampiaw@gadirect.net
  • Direct secure messaging: eunice.ampiaw@sfhga.gadirect.net

Organizations & group practices 9

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 4

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1962499137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9247",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319089247",
            "telephone_number": "706-322-7884",
            "fax_number": "706-660-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 BROOKSTONE CENTRE PKWY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049270",
            "telephone_number": "706-507-5320",
            "fax_number": "706-507-4741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMPIAW",
        "first_name": "EUNICE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "048751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000876631F",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "20208I1191",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01367069",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.