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COLUMBUS MEMORY CENTER, PC
NPI 1083171607
Psychiatry & Neurology - Neurology in Columbus, GA

Active since March 01, 2019
7196 N LAKE DR, COLUMBUS, GA 31909(706) 327-4000(706) 324-2557 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 16, 2024, Mar 1, 2019 (2 updates tracked since 2019).

About Columbus Memory Center, Pc NPPES

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

COLUMBUS MEMORY CENTER, PC (NPI 1083171607) is a healthcare organization registered as a neurology in Columbus, Georgia and active in the NPI registry since March 2019. The organization lists Jonathan Leonard Liss, President, as its authorized official.

NPPES Registry Identity

NPI1083171607
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameCOLUMBUS MEMORY CENTER, PC
Location Address7196 N LAKE DRColumbus, GA 31909-1693
Mailing Address7196 N Lake DrColumbus, GA 31909-1693 · (706) 327-4000 · Fax (706) 324-2557
Phone(706) 327-4000
Fax(706) 324-2557
Organization SubpartNo
Authorized OfficialJonathan Leonard LissPresident · (706) 327-4000
Enumeration DateMarch 1, 2019
Last NPPES UpdateJuly 16, 20242 updates tracked since enumeration
NPPES CertifiedJuly 16, 2024
✔ NPI 1083171607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedClinic/Center · Radiology, MobileTaxonomy 261QR0208X
7196 N LAKE DR, Columbus, GA 31909
Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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 Memory Center, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Columbus Memory Center, PC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Jose Canedo, MD
Neurology
NPI 1306979828
2300 MANCHESTER EXPY BLDG H SUITE 103
Columbus, GA 31904
(706) 571-0121
✔ PECOS✔ Accepts Medicare3.0 mi
George Benashvili, MD
Diagnostic Radiology
NPI 1063498400
710 CENTER ST DEPARTMENT OF RADIOLOGY
Columbus, GA 31901
(706) 571-1064
✔ PECOS✔ Accepts Medicare5.0 mi
Samuel Osei-Bonsu, M.D.
Diagnostic Radiology
NPI 1457617045
450 CLARKSON AVE DEPT OF RADIOLOGY MSC 1198
Brooklyn, NY 11203
(718) 270-1603
✔ PECOS✔ Accepts Medicare828 mi

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

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 Memory Center, PC's NPI number?

The NPI number for Columbus Memory Center, PC is 1083171607. It was assigned to this organization in the NPPES registry on March 1, 2019.

Where is Columbus Memory Center, PC located?

Columbus Memory Center, PC is located at 7196 N Lake Dr, Columbus, GA 31909. The listed phone number is (706) 327-4000.

What is Columbus Memory Center, PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Columbus Memory Center, PC enrolled in Medicare?

Yes. Columbus Memory Center, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Columbus Memory Center, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Columbus Memory Center, PC, in Diagnostic Radiology and Neurology. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Columbus Memory Center, 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 Memory Center, 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 Memory Center, PC was last updated on July 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.