COLUMBUS AMBULATORY HEALTHCARE SERVICES, INC. – Family Medicine Physician, NPI 1790733244
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for COLUMBUS AMBULATORY HEALTHCARE SERVICES, INC.
PO BOX 117337
ATLANTA, GA 303687337
Phone: (770) 801-2500
Fax: (470) 271-2895
Type: Mailing
1800, 10th Avenue, Rose Hill, Columbus, Muscogee County, Georgia, 31901, United States
COLUMBUS, GA 319013624
Phone: (706) 571-1120
Fax: (706) 660-2685
Type: Location
Columbus, Jane Haining rakpart, Lipótváros, 5th district, Budapest, Central Hungary, Hungary
COLUMBUS, GA 319021038
Phone: (706) 571-1120
Fax: (706) 660-1603
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-01-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-06-30 (343 days ago).
Enrollment records
1
Earliest due date
2025-06-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040128000790 | O | Clinic/Group Practice | GA | 2025-06-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30368)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.