| 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 |
| 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 | 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 | 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 | 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 | 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 | Anna Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124703061 PECOS PAC ID: 5294180451 Enrollment ID: I20231009003016 |
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