Pediatrics & Family Practice of Columbia, P.A.
NPI 1730242462ActiveOrganization· Pediatrics· Columbia, MS
Pediatrics in Columbia, Mississippi, registered in NPPES in December 2006. The authorized official on file is Jonathan Ryohwan Jang, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1730242462 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 17, 2006 |
| Last updated in NPPES | Oct 11, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | 17887 | MS |
| Family Medicine | 207Q00000X | 17888 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS) |
|---|
Other Pediatrics providers in Columbia
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