OrganizationActive
Equitas Health, Inc
NPI 1972097707 · Federally Qualified Health Center (FQHC) · Columbus, OH
Provider details
- NPI number
- 1972097707
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Susan Willis, Payer Credentialing Manager(833) 378-4827
Specialties & taxonomies
Ambulatory Health Care Facilities
- Adult Medicine Physician207QA0505X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
750 E Long St
Columbus, OH 43203-1846
Phone: (833) 378-4827
Fax: (833) 222-8164
Street-level locationGet directions
Mailing address
1105 Schrock Rd Ste 400
Columbus, OH 43229-1174
Registry dates
- Enumerated
- 2018-06-15
- Last updated
- 2026-04-03
- Certified
- 2026-04-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.