Healthcare Provider Details

I. General information

NPI: 1477798601
Provider Name (Legal Business Name): COLUMBUS MEDICAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2008
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12600 DEERFIELD PKWY STE 100
ALPHARETTA GA
30004-6130
US

IV. Provider business mailing address

12600 DEERFIELD PKWY STE 100
ALPHARETTA GA
30004-6130
US

V. Phone/Fax

Practice location:
  • Phone: 800-229-5116
  • Fax:
Mailing address:
  • Phone: 800-229-5116
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: KATHLEEN NOLAN
Title or Position: VICE PRESIDENT, OPERATIONS
Credential:
Phone: 800-229-5116