| Mercymed of Columbus Inc | |
|
3702 2nd Avenue Columbus GA 31904 | |
| (706) 507-9209 | |
| Not Available |
| Full Name | Mercymed of Columbus Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3702 2nd Avenue, Columbus, Georgia |
| Authorized Official Name and Position | Tony Nguyen (CHIEF OPERATIONS OFFICER) |
| Authorized Official Contact | 7065079209 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercymed of Columbus Inc 3702 2nd Ave Columbus GA 31904-7408 Ph: (706) 507-9209 | Mercymed of Columbus Inc 3702 2nd Avenue Columbus GA 31904 Ph: (706) 507-9209 |
| NPI Number | 1639450877 |
|---|---|
| Provider Enumeration Date | 09/01/2011 |
| Last Update Date | 10/19/2023 |
| Certification Date | 10/19/2023 |
| Medicare PECOS PAC ID | 3779748280 |
|---|---|
| Medicare Enrollment ID | O20120709000380 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639450877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 58922 (Georgia) | Primary |
| 208000000X | Pediatrics | 58922 (Georgia) | Secondary |
| Provider Name | Kimberly Klaus |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194769307 PECOS PAC ID: 9133016926 Enrollment ID: I20040304000704 |
| Provider Name | Sarah a Barr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497853873 PECOS PAC ID: 2466431036 Enrollment ID: I20040716000656 |
| Provider Name | Grant J Scarborough |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790736262 PECOS PAC ID: 9436161742 Enrollment ID: I20070918000277 |
| Provider Name | James K Smith |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1821321175 PECOS PAC ID: 9739227265 Enrollment ID: I20100922000835 |
| Provider Name | John Wade Faught |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720113897 PECOS PAC ID: 9830379338 Enrollment ID: I20110215000552 |
| Provider Name | Marie Mcintosh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639501067 PECOS PAC ID: 3274777313 Enrollment ID: I20130911000733 |
| Provider Name | Joyce Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659716587 PECOS PAC ID: 5799080552 Enrollment ID: I20171004000891 |
| Provider Name | Lindsay Nicole Simpkins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285170779 PECOS PAC ID: 0244573665 Enrollment ID: I20190528000591 |
| Provider Name | Scott David Carow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083715213 PECOS PAC ID: 7719218023 Enrollment ID: I20191016003311 |
| Provider Name | Megan Robinson Huwe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730690330 PECOS PAC ID: 5597199265 Enrollment ID: I20200818003593 |
| Provider Name | Jamie Benefield |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760087225 PECOS PAC ID: 4981018231 Enrollment ID: I20210127001278 |
| Provider Name | Joanna L Wishart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073076220 PECOS PAC ID: 4880928514 Enrollment ID: I20210304000550 |
| Provider Name | Paige Spurgeon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740829530 PECOS PAC ID: 1254730245 Enrollment ID: I20210525000000 |
| Provider Name | Turena R Tante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649872250 PECOS PAC ID: 0547651572 Enrollment ID: I20211229001168 |
| Provider Name | Annalee Boldt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578263661 PECOS PAC ID: 5597122697 Enrollment ID: I20230606000250 |
| Provider Name | Anna Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124703061 PECOS PAC ID: 5294180451 Enrollment ID: I20231009003016 |
| Provider Name | Aidan Kao |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1154722825 PECOS PAC ID: 9537695648 Enrollment ID: I20241212003722 |
| Provider Name | David C Bury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184066045 PECOS PAC ID: 5890013064 Enrollment ID: I20250114000391 |
| Provider Name | Morgan Mckissack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942074661 PECOS PAC ID: 4082142344 Enrollment ID: I20250114002724 |
| Provider Name | Kelly Mccollum Pendleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437966108 PECOS PAC ID: 3375073190 Enrollment ID: I20250210001463 |
| Provider Name | Megan Sando Dannemiller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629697636 PECOS PAC ID: 5193183028 Enrollment ID: I20250825000634 |
| Provider Name | Bethany Parker Mullin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295515575 PECOS PAC ID: 6608351234 Enrollment ID: I20260331003645 |
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 |