Columbus Diabetes & Wound Care Center LLC
NPI 1710790100ActiveOrganization· Surgery· Columbus, GA
Surgery in Columbus, Georgia, registered in NPPES in January 2025. The authorized official on file is Tyler Stout, Manager. Enrolled in Medicare as dme supplier - physician - family practice and part b supplier - clinic/group practice.
Overview
| NPI | 1710790100 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 29, 2025 |
| Last updated in NPPES | Aug 1, 2026 |
| Certified by provider | Aug 1, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
| Family Medicine | 207Q00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
| Nurse Practitioner, Family | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Family Practice (GA); Part B Supplier - Clinic/Group Practice (GA) |
|---|
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