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St Francis Physician Practices LLC

Organization Active NPI Otolaryngology Physician · Columbus, GA

NPI 1962877308 · NPPES record last updated Dec 10, 2015

Key facts

NPI
1962877308
Entity type
Organization (NPI type 2)
Primary specialty
Otolaryngology Physician 207Y00000X
Legal business name
ST FRANCIS PHYSICIAN PRACTICES LLC
Practice address
2300 Manchester Expy
Ste. C003
Columbus, GA 31904-6802
Phone
(706) 324-7753
Fax
(706) 324-7756
NPI assigned
Dec 10, 2015
Organization subpart
No

Authorized official

Name
Jess Judy
Title
President
Phone
(615) 920-7000

Other NPIs on the same Medicare enrollment 23

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 14

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 18

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20160120002073 GA Part B Supplier - Clinic/Group Practice 8729381033 Receives reassigned benefits from 295 practitioners
23 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lagrange, GA; Columbus, GA; Gainesville, GA; Braselton, GA

National Provider Directory

Tax ID family
St Francis Physician Practices LLC (15 organizations share this tax ID)

Locations

2300 Manchester Expy
Ste H202
Columbus, GA 31904
Phone (706) 320-3090

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Y00000X Yes

Addresses

Primary practice location

2300 Manchester Expy
Ste. C003
Columbus, GA 31904-6802

Mailing address

2300 Manchester Expy
Ste. C003
Columbus, GA 31904-6802
Phone (706) 324-7753

Other names

  • St. Francis ENT Doing business as

Other providers in Columbus, GA

All providers in Columbus, GA · Otolaryngology Physician in Georgia

Sources for this page

Verify at the official NPI Registry.