1. Home
  2. Directory
  3. Georgia
  4. Columbus
  5. Clinic Center
  6. NPI Profile

OUR LADY OF THE ROSES PRIMARY CARE
NPI 1205207933
Clinic/Center - Migrant Health in Columbus, GA

Active since October 07, 2015
808 21ST ST, COLUMBUS, GA 31904(706) 587-5771 Get Directions Write a Review

NPPES record last updated: October 7, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Our Lady Of The Roses Primary Care NPPES

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

OUR LADY OF THE ROSES PRIMARY CARE (NPI 1205207933) is a healthcare organization registered as a migrant health in Columbus, Georgia and active in the NPI registry since October 2015. The organization lists Gerald William Wieczorek, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1205207933
Entity TypeOrganization
Primary Taxonomy261QM1000X
Legal Business NameOUR LADY OF THE ROSES PRIMARY CARE
Location Address808 21ST STColumbus, GA 31904-8817
Mailing AddressPo Box 1957Fortson, GA 31808-1957 · (706) 587-5771
Phone(706) 587-5771
Organization SubpartNo
Authorized OfficialGerald William WieczorekBusiness Manager · (706) 327-4880
Enumeration DateOctober 7, 2015
✔ NPI 1205207933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Migrant HealthAmbulatory Health Care Facilities
Taxonomy Code261QM1000X
License✔ Licensed in GA · RN042301
808 21ST ST, Columbus, GA 31904
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINP28100GA
Medicaid126693AL
Medicaid000901106DGA

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN CAROL WIECZOREK NP-C, CWOCN
Nurse Practitioner (Family)
808 21ST ST
COLUMBUS, GA 31904
Muscogee County (706) 321-3901
ANNELIESE CHAI PA-C
Physician Assistant
808 21ST ST
COLUMBUS, GA 31904
Muscogee County (706) 221-2401
OUR LADY OF THE ROSES PRIMARY CARE
Nurse Practitioner
808 21ST ST
COLUMBUS, GA 31904
Muscogee County (706) 221-7232

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 Our Lady Of The Roses Primary Care's NPI number?

The NPI number for Our Lady Of The Roses Primary Care is 1205207933. It was assigned to this organization in the NPPES registry on October 7, 2015.

Where is Our Lady Of The Roses Primary Care located?

Our Lady Of The Roses Primary Care is located at 808 21st St, Columbus, GA 31904. The listed phone number is (706) 587-5771.

What is Our Lady Of The Roses Primary Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Migrant Health, with taxonomy code 261QM1000X.

When was this NPI record last updated?

The NPPES record for Our Lady Of The Roses Primary Care was last updated on October 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.