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

Initium Vitae

Organization Clinic/Center · NPI 1619848033

Initium Vitae is a Clinic/Center in Columbus, Georgia. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

6254 Warm Springs Rd Apt D6
Columbus, GA 31909-9144
Phone: (470) 652-1202
Fax: (706) 671-6317
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1619848033
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deshaun Ingersoll-Brown — Administrator · (470) 815-1138
Other names Fthc
NPI enumeratedSeptember 17, 2025
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025
Mailing address6254 Warm Springs Rd Apt D6, Columbus, GA 31909-9144

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