OrganizationActive
Columbus Southern Medical Group LLC
NPI 1174709422 · Clinic/Center · Columbus, OH
Columbus Southern Medical Group LLC is a Clinic/Center organization in Columbus, OH (NPI 1174709422).
Provider details
- NPI number
- 1174709422
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kevin Lake, Medical Director(614) 497-3400
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
2912 S High St
Columbus, OH 43207-3616
Phone: (614) 497-3400
Street-level locationGet directions
Mailing address
2912 S High St
Columbus, OH 43207-3616
Registry dates
- Enumerated
- 2008-01-17
- Last updated
- 2008-01-17
Frequently asked questions
- What is Columbus Southern Medical Group LLC's NPI number?
- Columbus Southern Medical Group LLC's National Provider Identifier (NPI) is 1174709422, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Columbus Southern Medical Group LLC?
- Columbus Southern Medical Group LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Columbus Southern Medical Group LLC located?
- Columbus Southern Medical Group LLC's practice location on file with NPPES is 2912 S High St, Columbus, OH 43207-3616.
- What is Columbus Southern Medical Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Columbus Southern Medical Group LLC is (614) 497-3400.
- Who is the authorized official for Columbus Southern Medical Group LLC?
- The authorized official listed on Columbus Southern Medical Group LLC's NPPES record is Kevin Lake, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Columbus Southern Medical Group LLC's NPI active?
- Yes — Columbus Southern Medical Group LLC's NPI (1174709422) is active in the NPPES registry as of the last update on 2008-01-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.