Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chisholm Trail Urgent Care PLLC

Organization Emergency Medicine Physician · NPI 1790396984

Chisholm Trail Urgent Care PLLC is an Emergency Medicine Physician in Columbus, Georgia. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11 Tsys Way
Columbus, GA 31901
Phone: (877) 485-4474
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1790396984
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationChisholm Trail Urgent Care PLLC
Authorized official Shane Cole — Member · (405) 705-5977
NPI enumeratedAugust 12, 2020
Last updated in NPPESAugust 12, 2020
Certification dateAugust 12, 2020
Mailing addressPo Box 722676, Norman, OK 73070-9033

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