MEDICARE: RIVER CITY ORTHOPAEDICS AND SPINE MEDICINE CENTER PC

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	207X00000X	Orthopaedic Surgery Physician	39717	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	92948	OTHER	AL	BLUE CROSS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629062336
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIVER CITY ORTHOPAEDICS AND SPINE MEDICINE CENTER PC

Provider Business Mailing Address
First Line	:	1900 10TH AVE
Second Line	:	STE 320
City	:	COLUMBUS
State	:	GA
Zip	:	31901-3600
Country	:	US
Telephone Number	:	706-653-6635
Fax Number	:	706-653-8543

Provider Business Practice Location Address
First Line	:	1900 10TH AVE
Second Line	:	STE 320
City	:	COLUMBUS
State	:	GA
Zip	:	31901-3600
Country	:	US
Telephone Number	:	706-653-6635
Fax Number	:	706-653-8543

Authorized Official
Title or Position	:	OWNER FOUNDER CEO MD
Name	:	EMORY JEVODE ALEXANDER
Credential	:	MD
Telephone Number	:	706-653-6635

Provider Enumeration Date	:	09/08/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1487655494 — CHARLES DEAN CHIPMAN MD
Practice Location Address:

1900 10TH AVE , 211
COLUMBUS, GA
31901-3600

Practice Phone: 706-321-2585
Practice Fax: 706-321-2586

1609877315 — HARVEY A HARRIS
Practice Location Address:

1900 10TH AVE , 211
COLUMBUS, GA
31901-3600

Practice Phone: 706-321-2585
Practice Fax: 706-321-2586

1932173440 — DR. MARIE J TRENGA M.D.
Practice Location Address:

1900 10TH AVE , SUITE 100
COLUMBUS, GA
31901-3600

Practice Phone: 706-561-4530
Practice Fax:

1699731679 — MS. SANDRA K KELLEY CRNP
Practice Location Address:

1900 10TH AVE , SUITE 200
COLUMBUS, GA
31901-3600

Practice Phone: 706-653-8556
Practice Fax: 706-653-9778

1033142856 — DR. THOMAS RUSSELL STEWART MD
Practice Location Address:

1900 10TH AVE , SUITE 200
COLUMBUS, GA
31901-3600

Practice Phone: 706-653-8556
Practice Fax: 706-653-9778

1063428563 — CLARK ALAN BERNIE DPM
Practice Location Address:

1900 10TH AVE , STE 120
COLUMBUS, GA
31901-3600

Practice Phone: 706-323-6914
Practice Fax: 706-596-1281

Directions to “RIVER CITY ORTHOPAEDICS AND SPINE MEDICINE CENTER PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.