MR. BENJAMIN DURHAM PA-C NPI 1003006115

Physician Assistant in Columbus, GA

About BENJAMIN DURHAM

Benjamin Durham is a provider in Columbus, GA with more than 11 years of experience. The NPI number assigned to this provider is 1003006115. The practitioner's primary taxonomy code is Physician Assistant (363A00000X). The provider is registered as an individual and their NPI record was last updated 10 years ago. Benjamin Durham is registered with Medicare and accepts claims assignment.

NPI1003006115 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameMR. BENJAMIN DURHAM PA-C
Provider Location Address2300 MANCHESTER EXPY # A SUITE 101-A COLUMBUS, GA 31904 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing AddressPO BOX 7000 COLUMBUS, GA 31908 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameMEDICAL COLLEGE OF GEORGIA
Graduation Year2007
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date07-26-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date07-26-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

MR. BENJAMIN DURHAM PA-C
2300 MANCHESTER EXPY # A
SUITE 101-A
COLUMBUS, GA
ZIP 31904
Phone: (706) 322-2462
Fax: (706) 320-3227
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Mailing Address

MR. BENJAMIN DURHAM PA-C
PO BOX 7000
COLUMBUS, GA
ZIP 31908
Phone: (706) 322-2462
Fax: (706) 320-3227

Primary Taxonomy

Taxonomy Code363A00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationPhysician Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.005084
License StateGA
Taxonomy DescriptionA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Map Location


MR. BENJAMIN DURHAM PA-C address is 2300 MANCHESTER EXPY # A SUITE 101-A COLUMBUS, GA 31904

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1538507488 LARRY ANDREW WISE AU.D.
Individual
Audiologist2300 MANCHESTER EXPY # A SUITE 005
COLUMBUS, GA 31904
(706) 324-7753
1619225026 BRITTANY I. MCLEOD DPT
Individual
Physical Therapist2300 MANCHESTER EXPY # A SUITE 101B
COLUMBUS, GA 31904
(706) 256-0825
1649419714DR. PARTHIV B PATEL D.O
Individual
Orthopaedic Surgery2300 MANCHESTER EXPY # A SUITE 101A
COLUMBUS, GA 31904
(706) 322-6646