ARTHUR J PROVISOR MD
NPI 1902976152
Pediatrics - Pediatric Hematology-Oncology in Columbus, GA

Q: What is Arthur Provisor's NPI number?

The NPI number for Arthur Provisor is 1902976152. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Q: What is Arthur Provisor's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Q: When was this NPI record last updated?

The NPPES record for Arthur Provisor was last updated on August 6, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 08, 2006PECOS Enrolled

1800 10TH AVE, COLUMBUS, GA 31901(706) 571-1120(706) 660-1603 Get Directions Write a Review

NPPES record last updated: August 6, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 6, 2018, Mar 17, 2018, Oct 27, 2017 (3 updates tracked since 2017).

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About Arthur J Provisor Md NPPES

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

ARTHUR J PROVISOR MD (NPI 1902976152) is an individual pediatric hematology-oncology provider in Columbus, Georgia, licensed in Georgia (047358) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1902976152

Entity TypeIndividualMale

Primary Taxonomy2080P0207X

Provider Legal NameARTHUR J PROVISORCredential: MD

Location Address1800 10TH AVEColumbus, GA 31901

Mailing Address4750 Waters Ave Ste 103Savannah, GA 31404-6267 · (912) 350-5646 · Fax (912) 350-7680

Phone(706) 571-1120

Fax(706) 660-1603

Sole ProprietorNo

Enumeration DateNovember 8, 2006

Last NPPES UpdateAugust 6, 20183 updates tracked since enumeration

✔ NPI 1902976152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0207X

License✔ Licensed in GA · 047358

Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

1800 10TH AVE, Columbus, GA 31901

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Secondary Practice Locations 2

Location 11800 10th AveColumbus, GA 31901-1513 · Phone (706) 571-1120 · Fax (706) 660-1603

Location 24750 Waters Ave Ste 103Savannah, GA 31404-6267 · Phone (912) 350-8180

Other Identifiers 1

Medicaid00834655BGA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Arthur J Provisor Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.