| New Horizons Community Service Board | |
|
2100 Comer Ave Columbus GA 31904-8725 | |
| (706) 596-5583 | |
| (706) 596-5589 |
| Full Name | New Horizons Community Service Board |
|---|---|
| Speciality | Clinic/Center |
| Location | 2100 Comer Ave, Columbus, Georgia |
| Authorized Official Name and Position | Perry Alexander (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7065965582 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Horizons Community Service Board 2100 Comer Ave Columbus GA 31904-8725 Ph: (706) 596-5583 | New Horizons Community Service Board 2100 Comer Ave Columbus GA 31904-8725 Ph: (706) 596-5583 |
| NPI Number | 1154315422 |
|---|---|
| Provider Enumeration Date | 09/01/2005 |
| Last Update Date | 08/01/2008 |
| Medicare PECOS PAC ID | 5698683431 |
|---|---|
| Medicare Enrollment ID | O20040506000089 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154315422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Daryl A Ellis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467468355 PECOS PAC ID: 8426043076 Enrollment ID: I20040419000319 |
| Provider Name | Brett N Murphy Dawson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205905635 PECOS PAC ID: 4183696297 Enrollment ID: I20040810000320 |
| Provider Name | Douglas K Laipple |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659468668 PECOS PAC ID: 0547220998 Enrollment ID: I20041012000299 |
| Provider Name | Pamela C Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477546489 PECOS PAC ID: 5294790358 Enrollment ID: I20041130000937 |
| Provider Name | Steven M Granich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710015672 PECOS PAC ID: 6507967486 Enrollment ID: I20070723000096 |
| Provider Name | Sherman K Whitfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225180565 PECOS PAC ID: 3870676471 Enrollment ID: I20080205000559 |
| Provider Name | Lovietta L Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003987579 PECOS PAC ID: 2163506502 Enrollment ID: I20080225000507 |
| Provider Name | Josue F Becerra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639195084 PECOS PAC ID: 9830137116 Enrollment ID: I20100202000183 |
| Provider Name | Wendy R Leonard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689717167 PECOS PAC ID: 5193918498 Enrollment ID: I20101019001094 |
| Provider Name | Danine Lajiness-polosky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578531000 PECOS PAC ID: 4981680527 Enrollment ID: I20120822000157 |
| Provider Name | Nosheen Azam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184852600 PECOS PAC ID: 5496902017 Enrollment ID: I20120904000193 |
| Provider Name | Priyanka Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902098197 PECOS PAC ID: 8426201039 Enrollment ID: I20130110000247 |
| Provider Name | Tiffany G Tate |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144248188 PECOS PAC ID: 3971594425 Enrollment ID: I20130925000736 |
| Provider Name | Kimberly Perkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306171129 PECOS PAC ID: 2163643925 Enrollment ID: I20141020000836 |
| Provider Name | Caroline Lukano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023498466 PECOS PAC ID: 5597071241 Enrollment ID: I20150826001800 |
| Provider Name | Edward A Minor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447341979 PECOS PAC ID: 7911217229 Enrollment ID: I20151116002646 |
| Provider Name | Shannon S Carringer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831565977 PECOS PAC ID: 5496055592 Enrollment ID: I20151120002659 |
| Provider Name | Angela P Klinkhammer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083086300 PECOS PAC ID: 4981904786 Enrollment ID: I20151201001002 |
| Provider Name | Michael Andrew Dehner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275903239 PECOS PAC ID: 1153622584 Enrollment ID: I20151209000746 |
| Provider Name | Kess Mughelli-ogden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215223284 PECOS PAC ID: 7719127935 Enrollment ID: I20161107001172 |
| Provider Name | Crystal D Miller Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750634770 PECOS PAC ID: 9830327733 Enrollment ID: I20161123001593 |
| Provider Name | Ralphine Renee Whitfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861621922 PECOS PAC ID: 4486930047 Enrollment ID: I20170413001493 |
| Provider Name | Jane Egbufoama |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417469248 PECOS PAC ID: 6709132020 Enrollment ID: I20180628002570 |
| Provider Name | Temeka Taylor Buggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154817799 PECOS PAC ID: 7719229871 Enrollment ID: I20190422001656 |
| Provider Name | Tiffni M Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275103319 PECOS PAC ID: 4385049584 Enrollment ID: I20210826001646 |
| Provider Name | Evelyn Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902264294 PECOS PAC ID: 4486050150 Enrollment ID: I20210903000505 |
| Provider Name | Brina N Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598386641 PECOS PAC ID: 4587021225 Enrollment ID: I20230612000933 |
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 | |
One On One Staffing &wellness Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1315 Delauney Ave Ste 201-a, Columbus, GA 31901 Phone: 334-655-0315 | |
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: Medicare Enrolled Practice Location: 3465 Macon Rd Ste D, Columbus, GA 31907 Phone: 706-243-3051 | |
Columbus Primary Care Internal Medicine Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1041 Talbotton Rd, Columbus, GA 31904 Phone: 706-660-8825 Fax: 706-660-8897 | |
Unitehere Union Health & Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1110 Farr Rd Ste C, Columbus, GA 31907 Phone: 706-683-0909 Fax: 706-683-9757 | |
Comprehensive Contingency Task Force Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3649 Victory Dr, Columbus, GA 31903 Phone: 706-221-5025 |