| Michael Coulthard, | |
|
1900 10th Ave Ste 100, Columbus, GA 31901-3601 | |
| (706) 571-1430 | |
| (706) 571-1604 |
| Full Name | Michael Coulthard |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 16 Years |
| Location | 1900 10th Ave Ste 100, Columbus, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700172707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 005235 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Russell Medical Center | Alexander city, AL | Hospital |
| Piedmont Columbus Regional Midtown | Columbus, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Newgen Alabama Billing Llc | 9133657208 | 93 |
| Emergency Group Of Columbus Llc | 2668735515 | 42 |
| Entity Name | Nes Tennessee, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437606605 PECOS PAC ID: 3678472040 Enrollment ID: O20161031002328 |
| Entity Name | Newgen Alabama Billing Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013744424 PECOS PAC ID: 9133657208 Enrollment ID: O20250116003745 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Coulthard, 1800 10th Ave, Columbus, GA 31901-1513 Ph: () - | Michael Coulthard, 1900 10th Ave Ste 100, Columbus, GA 31901-3601 Ph: (706) 571-1430 |
Clayton Paul Michael Bellam, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8400 Veterans Pkwy Apt 802, Columbus, GA 31909 Phone: 770-906-0084 | |
Dr. Jeffrey S Jenkins, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2000 10th Ave, Suite 200, Columbus, GA 31901 Phone: 706-321-3745 Fax: 706-321-3749 | |
Dr. Jefferson C Jones, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 10th Ave, Suite 200, Columbus, GA 31901 Phone: 706-321-3745 Fax: 706-321-3749 | |
Dr. Robert O'neil Snoddy, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 610 19th St, Columbus, GA 31901 Phone: 706-322-7884 Fax: 706-660-2167 | |
Dr. Lisa W. Gantner, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 7901 Veterans Pkwy, Columbus, GA 31909 Phone: 706-321-1223 Fax: 706-321-0819 | |
Shikha Shah, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6200 Bradley Park Dr, Columbus, GA 31904 Phone: 706-591-8080 Fax: 888-905-2571 | |
Anthony Iwelunmor, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Center St, Columbus, GA 31901 Phone: 706-571-1000 |