Provider Demographics
NPI:1942228887
Name:NORTH COLUMBUS SPINE, PC
Entity Type:Organization
Organization Name:NORTH COLUMBUS SPINE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:AUERBACH
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:706-653-7000
Mailing Address - Street 1:2300 MANCHESTER EXPY
Mailing Address - Street 2:BUILDING G SUITE 101
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-6802
Mailing Address - Country:US
Mailing Address - Phone:706-653-7000
Mailing Address - Fax:706-653-7800
Practice Address - Street 1:2300 MANCHESTER EXPY
Practice Address - Street 2:BUILDING G SUITE 101
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-6802
Practice Address - Country:US
Practice Address - Phone:706-653-7000
Practice Address - Fax:706-653-7800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0512922081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GADA3836Medicare ID - Type UnspecifiedRAILROAD MEDICARE GROUP #
GAGRP6052Medicare ID - Type UnspecifiedMEDICARE GROUP ID NUMBER