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PRO HEALTH SERVICES LLC
NPI 1205281581
Clinic/Center - Medical Specialty in Columbus, OH

Active since April 25, 2016CLIA 36D1097096 · Waiver
2975 DONNYLANE BLVD, COLUMBUS, OH 43235(614) 442-2600(614) 442-1600 Get Directions Write a Review

NPPES record last updated: August 19, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Pro Health Services Llc NPPES

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

PRO HEALTH SERVICES LLC (NPI 1205281581) is a healthcare organization registered as a medical specialty in Columbus, Ohio and active in the NPI registry since April 2016. The organization holds a CLIA Waiver certificate valid through June 30, 2027 and lists Angelice Alexander, President, as its authorized official.

NPPES Registry Identity

NPI1205281581
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NamePRO HEALTH SERVICES LLC
Location Address2975 DONNYLANE BLVDColumbus, OH 43235-3228
Mailing Address2975 Donnylane BlvdColumbus, OH 43235-3228 · (614) 442-2600 · Fax (614) 442-1600
Phone(614) 442-2600
Fax(614) 442-1600
Organization SubpartNo
Authorized OfficialAngelice AlexanderPresident · (614) 442-2600
Enumeration DateApril 25, 2016
Last NPPES UpdateAugust 19, 2021
NPPES CertifiedAugust 19, 2021
✔ NPI 1205281581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in OH · 35080261
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
2975 DONNYLANE BLVD, Columbus, OH 43235
Open in Google Maps ↗

Other Identifiers 1

Medicaid0400491OH

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pro Health Services Llc 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 Pro Health Services LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Angelice Alexander-Martin, MD
Addiction Medicine
NPI 1427150424
2975 DONNYLANE BLVD
Columbus, OH 43235
(614) 442-2600
✔ PECOS✔ Accepts MedicareSame 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 of Waiver 36D1097096

Pro Health Services LLC · Columbus, OH
Active · expires Jun 30, 2027
CLIA Number36D1097096
Laboratory TypePhysician Office
Certificate Effective DateJuly 1, 2025
Certificate Expiration DateJune 30, 2027
Laboratory DirectorAngelice Alexander
Laboratory Phone(614) 442-2600
Laboratory LocationPro Health Services LLC2975 Donnylane Blvd, Columbus, OH 43235
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only 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 Pro Health Services LLC's NPI number?

The NPI number for Pro Health Services LLC is 1205281581. It was assigned to this organization in the NPPES registry on April 25, 2016.

Where is Pro Health Services LLC located?

Pro Health Services LLC is located at 2975 Donnylane Blvd, Columbus, OH 43235. The listed phone number is (614) 442-2600.

What is Pro Health Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Pro Health Services LLC enrolled in Medicare?

Yes. Pro Health Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pro Health Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Addiction Medicine) reassigns their Medicare billing to Pro Health Services LLC. 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 Pro Health Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D1097096) is associated with this NPI, valid through June 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pro Health Services LLC was last updated on August 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.