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SAMRAJ MEDICAL CLINIC, P.C.
NPI 1780863324
Clinic/Center - Medical Specialty in Columbus, GA

Active since October 31, 2007CLIA 11D0981803 · Waiver
2000 12TH AVE, COLUMBUS, GA 31901(706) 653-2226(706) 653-2228 Get Directions Write a Review

NPPES record last updated: March 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samraj Medical Clinic, P.c. NPPES

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

SAMRAJ MEDICAL CLINIC, P.C. (NPI 1780863324) is a healthcare organization registered as a medical specialty in Columbus, Georgia and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through January 7, 2027 and lists Joshua S Samraj, President, as its authorized official.

NPPES Registry Identity

NPI1780863324
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameSAMRAJ MEDICAL CLINIC, P.C.
Location Address2000 12TH AVEColumbus, GA 31901-1638
Mailing Address2000 12th AveColumbus, GA 31901-1638 · (706) 653-2226 · Fax (706) 653-2228
Phone(706) 653-2226
Fax(706) 653-2228
Organization SubpartNo
Authorized OfficialJoshua S SamrajPresident · (706) 653-2226
Enumeration DateOctober 31, 2007
Last NPPES UpdateMarch 31, 2023
NPPES CertifiedMarch 31, 2023
✔ NPI 1780863324 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 GA · 046322
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).
2000 12TH AVE, Columbus, GA 31901
Open in Google Maps ↗

Other Identifiers 6

OtherGRP7206GA · Medicare Group Id
Other297594GA · Wellcare
OtherP00226966GA · Rr Medicare
OtherDD4216FL · Medicare Railroad Carrier
Medicaid000880558CGA
Other923658GA · Bcbs

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 ›

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 11D0981803

Samraj Medical Clinic PC · Columbus, GA
Active · expires Jan 7, 2027
CLIA Number11D0981803
Laboratory TypePhysician Office
Certificate Effective DateJanuary 8, 2025
Certificate Expiration DateJanuary 7, 2027
Laboratory DirectorJoshua S. Samraj MD
Laboratory Phone(706) 653-2226
Laboratory LocationSamraj Medical Clinic PC2000 12th Avenue, Columbus, GA 31901
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. JOSHUA S SAMRAJ MD
Internal Medicine
2000 12TH AVE
COLUMBUS, GA 31901
Muscogee County (706) 653-2226

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 Samraj Medical Clinic, P.C.'s NPI number?

The NPI number for Samraj Medical Clinic, P.C. is 1780863324. It was assigned to this organization in the NPPES registry on October 31, 2007.

Where is Samraj Medical Clinic, P.C. located?

Samraj Medical Clinic, P.C. is located at 2000 12th Ave, Columbus, GA 31901. The listed phone number is (706) 653-2226.

What is Samraj Medical Clinic, P.C.'s specialty?

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

Does Samraj Medical Clinic, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0981803) is associated with this NPI, valid through January 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Samraj Medical Clinic, P.C. accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Samraj Medical Clinic, P.C. 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 Samraj Medical Clinic, P.C. was last updated on March 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.