COLUMBUS PRIMARY CARE INTERNAL MEDICINE PC
NPI 1063566909
Internal Medicine in Columbus, GA

Active since January 22, 2007CLIA 11D0996398 · Microscopy
1041 TALBOTTON RD, COLUMBUS, GA 31904(706) 660-8825(706) 660-8897 Get Directions Write a Review

NPPES record last updated: May 11, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Columbus Primary Care Internal Medicine Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLUMBUS PRIMARY CARE INTERNAL MEDICINE PC (NPI 1063566909) is a healthcare organization registered as an internal medicine in Columbus, Georgia and active in the NPI registry since January 2007. The organization holds a CLIA Microscopy certificate valid through February 17, 2028 and lists Edet O Bassey, Ceo President, as its authorized official.

NPPES Registry Identity

NPI1063566909
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCOLUMBUS PRIMARY CARE INTERNAL MEDICINE PC
Location Address1041 TALBOTTON RDColumbus, GA 31904-8745
Mailing AddressPo Box 2746Columbus, GA 31902-2746 · (706) 660-8825 · Fax (706) 660-8897
Fax(706) 660-8897
Organization SubpartNo
Authorized OfficialEdet O BasseyCeo President · (706) 660-8825
Enumeration DateJanuary 22, 2007
Last NPPES UpdateMay 11, 2010
✔ NPI 1063566909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 044408
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1041 TALBOTTON RD, Columbus, GA 31904

Other Identifiers 4

Medicaid000807881CGA
Medicaid00807881CGA
Medicare UPING81322GA
Medicare ID-Type Unspecified11BDTXWGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Columbus Primary Care Internal Medicine Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Columbus Primary Care Internal Medicine PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1336123181
1041 TALBOTTON RD
Columbus, GA 31904
(706) 660-8825
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D0996398

Columbus Primary Care Internal Medicine PC · Columbus, GA
Active · expires Feb 17, 2028
CLIA Number11D0996398
Laboratory TypePhysician Office
Certificate Effective DateFebruary 18, 2026
Certificate Expiration DateFebruary 17, 2028
Laboratory DirectorEdet O. Bassey
Laboratory Phone(706) 660-8825
Laboratory LocationColumbus Primary Care Internal Medicine PC1041 Talbotton Road, Columbus, GA 31904
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Columbus Primary Care Internal Medicine PC's NPI number?

The NPI number for Columbus Primary Care Internal Medicine PC is 1063566909. It was assigned to this organization in the NPPES registry on January 22, 2007.

Where is Columbus Primary Care Internal Medicine PC located?

Columbus Primary Care Internal Medicine PC is located at 1041 Talbotton Rd, Columbus, GA 31904. The listed phone number is (706) 660-8825.

What is Columbus Primary Care Internal Medicine PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Columbus Primary Care Internal Medicine PC enrolled in Medicare?

Yes. Columbus Primary Care Internal Medicine PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Columbus Primary Care Internal Medicine PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Columbus Primary Care Internal Medicine PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Columbus Primary Care Internal Medicine PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D0996398) is associated with this NPI, valid through February 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Columbus Primary Care Internal Medicine PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Columbus Primary Care Internal Medicine PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Columbus Primary Care Internal Medicine PC was last updated on May 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.