P Praxis·MD
● Active Type 1 · Individual

Rourke M Stay, MD

Radiology·Columbus, GA· NPI 1417165465 · Enumerated 2007 · 19 years on NPI
Stay is 1 of 35 radiology providers in Columbus and 1 of 1280 in Georgia.
NPI age
19 years
Enumerated 2007-05-21
Primary specialty
Radiology
Plus 2 subspecialties
Licensed in
GA, VA, CA
3 states
Status
Active
No deactivations on record
Last NPPES update
2020-06-04
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1280 active radiology providers in Georgia.

NPI age
19 years
≈ at median (19 yr)
State licenses
3 states
Top 78% — 21% of peers are multi-state
Subspecialties
0
38% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-05Enumerated in NPPES
2007 2026

Where they practice

Practice location
717 20th St
Columbus, GA 319022787
📞 7066530292fax 7066531162
Mailing address
Po Box 370
Fortson, GA 318080370
fax 7064943008

Specialties

  • Radiology Primary
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    GA license #064432VA license #0101240371CA license #A108438 taxonomy 2085R0202X

Identifiers

TypeValueNotes
01 (GA) 202G707915 GROUP NUMBER FOR CDC ON COMER
01 (GA) P00882634 RR MEDICARE
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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