OUR LADY OF THE ROSES PRIMARY CARE
NPI 1801119375
Nurse Practitioner in Columbus, GA

Q: What is Our Lady Of The Roses Primary Care's NPI number?

The NPI number for Our Lady Of The Roses Primary Care is 1801119375. It was assigned to this organization in the NPPES registry on March 11, 2010.

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

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since March 11, 2010

808 21ST ST, COLUMBUS, GA 31904(706) 221-7232(706) 221-7246 Get Directions Write a Review

NPPES record last updated: February 25, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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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 1801119375) is a healthcare organization registered as a nurse practitioner in Columbus, Georgia and active in the NPI registry since March 2010. The organization lists Gerald W. Wieczorek, Registering Agent, as its authorized official.

NPPES Registry Identity

NPI1801119375

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameOUR LADY OF THE ROSES PRIMARY CARE

Location Address808 21ST STColumbus, GA 31904-8817

Mailing AddressPo Box 1957Fortson, GA 31808-1957 · (706) 327-4880 · Fax (706) 327-4880

Phone(706) 221-7232

Fax(706) 221-7246

Organization SubpartNo

Authorized OfficialGerald W. WieczorekRegistering Agent · (706) 327-4880

Enumeration DateMarch 11, 2010

Last NPPES UpdateFebruary 25, 2014

✔ NPI 1801119375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedGeneral PracticeTaxonomy 208D00000X

808 21ST ST, Columbus, GA 31904

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Other Identifiers 1

Medicare PIN202G072515GA

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 MULTIPLE SINGLE SPECIALTY GROUP

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

OUR LADY OF THE ROSES PRIMARY CARE

Clinic/Center (Migrant Health)

808 21ST ST
COLUMBUS, GA 31904

Muscogee County (706) 587-5771

ANNELIESE CHAI PA-C

Physician Assistant

808 21ST ST
COLUMBUS, GA 31904

Muscogee County (706) 221-2401

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 1801119375. It was assigned to this organization in the NPPES registry on March 11, 2010.

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) 221-7232.

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

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Our Lady Of The Roses Primary Care was last updated on February 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.