| Columbus Diabetes & Wound Care Center LLC | |
|
2300 Manchester Expy Ste H202 Columbus GA 31904-6803 | |
| (706) 257-7680 | |
| (706) 257-7681 |
| Full Name | Columbus Diabetes & Wound Care Center LLC |
|---|---|
| Speciality | Surgery |
| Location | 2300 Manchester Expy Ste H202, Columbus, Georgia |
| Authorized Official Name and Position | Tyler Stout (MANAGER) |
| Authorized Official Contact | 3373157927 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbus Diabetes & Wound Care Center LLC 2300 Manchester Expy Ste H202 Columbus GA 31904-6803 Ph: (706) 257-7680 | Columbus Diabetes & Wound Care Center LLC 2300 Manchester Expy Ste H202 Columbus GA 31904-6803 Ph: (706) 257-7680 |
| NPI Number | 1710790100 |
|---|---|
| Provider Enumeration Date | 01/29/2025 |
| Last Update Date | 08/01/2026 |
| Certification Date | 08/01/2026 |
| Medicare PECOS PAC ID | 3971023003 |
|---|---|
| Medicare Enrollment ID | O20250220000196 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710790100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 208600000X | Surgery | () | Primary |
| 363L00000X | Nurse Practitioner | () | Secondary |
| 363LF0000X | Nurse Practitioner - Family | () | Secondary |
| Provider Name | James D Majors |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699875963 PECOS PAC ID: 3375627599 Enrollment ID: I20080505000096 |
| Provider Name | Paige Preston Bence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457867871 PECOS PAC ID: 8123373024 Enrollment ID: I20180618001790 |
| Provider Name | Victor Knutzen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255679320 PECOS PAC ID: 7719117407 Enrollment ID: I20250220000332 |
| Provider Name | Larhonda Randolph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629890843 PECOS PAC ID: 5698297570 Enrollment ID: I20250320001095 |
Vance Family Medicine LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7413 Whitesville Rd Ste 700, Columbus, GA 31904 Phone: 706-887-4123 Fax: 706-887-4124 |
New Horizons Area MH MR Sa Program Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2100 Comer Ave, Columbus, GA 31904 Phone: 706-596-5500 Fax: 706-596-5589 |
National Sleep Solutions Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4 Bradley Park Ct Ste 1c, Columbus, GA 31904 Phone: 888-884-9493 Fax: 888-884-9493 |
Family Wellcare Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4215 Woodruff Rd, Columbus, GA 31904 Phone: 706-653-6080 Fax: 706-653-6052 |
Gabiana Medical Offices Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Center St, 201 Professional Tower, Columbus, GA 31901 Phone: 706-323-4747 Fax: 706-660-0676 |
Mac - Macon Road LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3465 Macon Rd Ste D, Columbus, GA 31907 Phone: 706-243-3051 |