NPI age
1 years
Enumerated 2025-01-29
● Active Type 2 · Organization
Columbus Diabetes & Wound Care Center Llc
Columbus Diabetes & Wound Care Center Llc is 1 of 1389 surgery organizations in Georgia.
Primary specialty
Surgery
Plus 3 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Stout
Manager
Last NPPES update
2025-10-13
Source: monthly bulk 2026-05
How this organization compares
Across 1389 active surgery providers in Georgia.
NPI age
1 years
↓ 16 yr below median
Practice locations
1
0 secondary on file
Subspecialties
3
In the 28% of peers with subspecialties
NPI lifetime · 2025 → 2026
2025-01Enumerated in NPPES
2025
2026
Where they practice
Primary practice location
2300 Manchester Expy Ste A005
Columbus, GA 319046805
Mailing address
2300 Manchester Expy Ste A005
Columbus, GA 319046805
Authorized official
Tyler Stout
Manager
📞 3373157927
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Mary Bailey Bryan, PA-C Physician Assistant NPI 1093265753
- Larhonda Randolph Nurse Practitioner NPI 1629890843
Specialties
-
Surgery PrimaryA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
-
Family MedicineFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
-
Nurse PractitionerDefinition to come...
-
Nurse Practitioner(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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