Unknown Individual – Internal Medicine Physician, NPI 1336140052
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
106, Enterprise Court, Fox Chapel, Columbus, Muscogee County, Georgia, 31904, United States
SUITE C
COLUMBUS, GA 31904
Phone: (706) 321-0476
Fax: (706) 321-2508
Type: Mailing
3934, Woodruff Road, Clubview Heights, Columbus, Muscogee County, Georgia, 31904, United States
COLUMBUS, GA 319046818
Phone: (706) 322-0304
Fax: (706) 327-0870
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 245 Open Payments records for all available years, with a total value of $4,112.
Total Amount is formed as General ($4,112) + Research ($0) + Ownership ($0) = $4,112.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Lilly USA, LLC ($517).
Total Amount
$4,112
General + Research + Ownership
Payments
245
Total payment records
General Amount
$4,112
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $517 |
| Novo Nordisk Inc | $364 |
| Bayer Healthcare Pharmaceuticals Inc. | $310 |
| ABBVIE INC. | $290 |
| AstraZeneca Pharmaceuticals LP | $220 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 657 | 310 | $0 |
| 99458 | Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 539 | 37 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 471 | 275 | $0 |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 373 | 43 | $0 |
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 292 | 119 | $0 |
Insurance plans in this area (ZIP 31904)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| Internal Medicine | GA | |
| Physical Therapist In Private Practice | GA | |
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| Physician Assistant | TX | |
| Family Practice | GA | |
| Family Practice | GA | |
| - | GA |
Reviews
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