OrganizationActive
Columbus Ambulatory Healthcare Services, Inc.
NPI 1699240531 · Family Medicine Physician · Phenix City, AL
Provider details
- NPI number
- 1699240531
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Columbus Ambulatory Healthcare Services, Inc.
- Organization subpart
- Yes
- Authorized official
- Teirra Walker, Credentialing Specialist(706) 494-4300
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
1810 Stadium Dr Ste 240
Phenix City, AL 36867-3179
Phone: (334) 291-8303
Fax: (334) 291-8325
Street-level locationGet directions
Mailing address
Po Box 117337
Atlanta, GA 30368-7337
Registry dates
- Enumerated
- 2018-10-08
- Last updated
- 2021-10-26
- Certified
- 2021-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.