| Columbus Ambulatory Healthcare Services, Inc. | |
|
1810 Stadium Dr Ste 240 Phenix City AL 36867-3179 | |
| (334) 291-8303 | |
| (334) 291-8325 |
| Full Name | Columbus Ambulatory Healthcare Services, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1810 Stadium Dr Ste 240, Phenix City, Alabama |
| Authorized Official Name and Position | Teirra Walker (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7064944300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbus Ambulatory Healthcare Services, Inc. Po Box 117337 Atlanta GA 30368-7337 Ph: (770) 801-2500 | Columbus Ambulatory Healthcare Services, Inc. 1810 Stadium Dr Ste 240 Phenix City AL 36867-3179 Ph: (334) 291-8303 |
| NPI Number | 1699240531 |
|---|---|
| Provider Enumeration Date | 10/08/2018 |
| Last Update Date | 10/26/2021 |
| Medicare PECOS PAC ID | 1355244385 |
|---|---|
| Medicare Enrollment ID | O20181205003322 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699240531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Daryl A Ellis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467468355 PECOS PAC ID: 8426043076 Enrollment ID: I20040621000093 |
| Provider Name | Dennis K Harden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982715538 PECOS PAC ID: 3678766482 Enrollment ID: I20101025000429 |
| Provider Name | Juanita Jones-harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063927101 PECOS PAC ID: 2466717152 Enrollment ID: I20180530001396 |
| Provider Name | Hollis C Sigman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1740395953 PECOS PAC ID: 8022011584 Enrollment ID: I20190703000466 |
| Provider Name | Rebekah Washington Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811408818 PECOS PAC ID: 1557690328 Enrollment ID: I20190904003385 |
| Provider Name | Siraj Abdullah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235450685 PECOS PAC ID: 1759509854 Enrollment ID: I20200313000561 |
| Provider Name | Adrienne Crow |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538320668 PECOS PAC ID: 5799935599 Enrollment ID: I20200518001846 |
| Provider Name | Jemese Richards-boyd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467985085 PECOS PAC ID: 9739504309 Enrollment ID: I20200730001927 |
| Provider Name | Jamie Danielle Oubre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144859224 PECOS PAC ID: 9739593187 Enrollment ID: I20210127001057 |
| Provider Name | Paula Waddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679656441 PECOS PAC ID: 3274721881 Enrollment ID: I20211019002311 |
| Provider Name | Julia Jane Sieth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376034751 PECOS PAC ID: 3870974975 Enrollment ID: I20220720003778 |
James F Zumstein Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1810 Stadium Drive, Suite 230, Phenix City, AL 36867 Phone: 334-664-0219 Fax: 334-664-0224 | |
B.l. Carden, Md,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1810 Stadium Dr, Suite 220, Phenix City, AL 36867 Phone: 334-664-0210 | |
Chimed Rehab Ficpc, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3700 S Railroad St Ste D, Phenix City, AL 36867 Phone: 334-298-7700 | |
Jpl Family Medicine, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1810 Stadium Dr, Suite 210, Phenix City, AL 36867 Phone: 334-291-5255 Fax: 877-395-0710 | |
Richard A. Valentine Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1615 21st Ct, Phenix City, AL 36867 Phone: 334-297-4883 Fax: 334-297-7937 | |
William R. Jordan, M.d., Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1212 7th Ave Ste B, Phenix City, AL 36867 Phone: 334-297-7790 Fax: 334-297-7127 |