Healthcare Provider Details

I. General information

NPI: 1992950455
Provider Name (Legal Business Name): COLUMBUS MEDICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2008
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

147 KNIGHT AVENUE CIRCLE
WAYCROSS GA
31503
US

IV. Provider business mailing address

147 KNIGHT AVENUE CIRCLE
WAYCROSS GA
31503
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: SARA WATSON
Title or Position: OFFICE MANAGER
Credential:
Phone: 770-916-1091