OrganizationActive
Columbus Cardiovascular Care PLLC
NPI 1063425486 · Cardiovascular Disease Physician · Columbus, MS
Provider details
- NPI number
- 1063425486
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Boland, Owner(662) 240-1412
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
255 Baptist Blvd
Suite 402
Columbus, MS 39705-2011
Phone: (662) 240-1412
Fax: (662) 240-1949
Street-level locationGet directions
Mailing address
255 Baptist Blvd
Columbus, MS 39705-2011
Registry dates
- Enumerated
- 2006-08-15
- Last updated
- 2008-07-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.