Promax Medical Center LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PROMAX MEDICAL CENTER LLC

Practice address

6367 Whitesville Rd Ste 100
Columbus, GA 31904-3275

Phone

(706) 576-9844

Fax

(706) 576-9924

NPI assigned

Feb 5, 2025

Last updated

Feb 5, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Johnson, DCNPI 1376892828

Title

Owner

Phone

(706) 718-9799

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Berek Johnson, D.C.

  • Chiropractor
  • Columbus, GA
  • NPI 1376892828
  Medicare reassignment NPD Authorized official
• Skyler Ryan Brown, DO

  • Family Medicine Physician
  • Columbus, GA
  • NPI 1164951752
  Medicare reassignment NPD
• Christopher S. Hensley, PA-C

  • Medical Physician Assistant
  • Columbus, GA
  • NPI 1811931371
  Medicare reassignment NPD
• Joel S Jones, DO

  • Family Medicine Physician
  • Bentonville, AR
  • NPI 1194783472
  NPD (past)

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

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1972317303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 PINEWOOD WAY",
            "city": "CATAULA",
            "state": "GA",
            "postal_code": "318044486",
            "telephone_number": "706-718-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6367 WHITESVILLE RD STE 100",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043275",
            "telephone_number": "706-576-9844",
            "fax_number": "706-576-9924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMAX MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-718-9799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Project Change Clubhouse
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• Project Rebound Inc.
• Project Rebound Inc.
• Jennifer Prophitt
• Will McKinnley Prothro
• Arthur J Provisor, MD
• Porsche Prowell, BS
• Amanda Barnette Pruett

• Family Medicine Physician in Columbus, GA
• Providers in Columbus, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.