Contract Details
Facility name
TherapySouth Columbus
Provider ID
P000000001
NPI
1336733161
Tax ID
854153962
Effective Date
8/1/2021
Last Updated
8/17/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
6053 Veterans Parkway Suite 103
Columbus, GA 31909
United States
Phone
706-786-6530 (Phone)
Billing Details
Address
2823 Greystone Commercial Blvd
Birmingham, AL 35242
Billing Phone
2057453660
Specialty Type
Physical Therapy
Website
Visit Website
Workers Comp Coordinator
Mary
Holden
205-527-0382
mholden@therapysouth.net
Map
Address