Columbus Diabetes & Wound Care Center LLC
NPI 1710790100 · Surgery Physician · Columbus, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Columbus Diabetes & Wound Care Center LLC is a Surgery Physician organization in Columbus, GA (NPI 1710790100).
Provider details
- NPI number
- 1710790100
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tyler Stout, Manager(337) 315-7927
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
Mailing address
Registry dates
- Enumerated
- 2025-01-29
- Last updated
- 2025-10-13
- Certified
- 2025-10-13
Frequently asked questions
- What is Columbus Diabetes & Wound Care Center LLC's NPI number?
- Columbus Diabetes & Wound Care Center LLC's National Provider Identifier (NPI) is 1710790100, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Columbus Diabetes & Wound Care Center LLC?
- Columbus Diabetes & Wound Care Center LLC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Columbus Diabetes & Wound Care Center LLC located?
- Columbus Diabetes & Wound Care Center LLC's practice location on file with NPPES is 2300 Manchester Expy Ste A005, Columbus, GA 31904-6805.
- What is Columbus Diabetes & Wound Care Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Columbus Diabetes & Wound Care Center LLC is (337) 315-7927.
- Does Columbus Diabetes & Wound Care Center LLC accept Medicare?
- Columbus Diabetes & Wound Care Center LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Columbus Diabetes & Wound Care Center LLC?
- The authorized official listed on Columbus Diabetes & Wound Care Center LLC's NPPES record is Tyler Stout, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Columbus Diabetes & Wound Care Center LLC's NPI active?
- Yes — Columbus Diabetes & Wound Care Center LLC's NPI (1710790100) is active in the NPPES registry as of the last update on 2025-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.