MEDICARE: MRS. MONICA LYNN BIVINS RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251J00000X	Nursing Care Agency	RN129430	GA

General Provider Information

NPI Number	:	1588513188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MONICA LYNN BIVINS RN

Provider Business Mailing Address
First Line	:	4332 RIDGEFIELD DR
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31907-6227
Country	:	US
Telephone Number	:	706-442-5082
Fax Number	:

Provider Business Practice Location Address
First Line	:	7661 KAYNE BLVD STE C
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31909-2546
Country	:	US
Telephone Number	:	706-617-6800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	01/26/2026

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