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

Our Lady of the Roses Primary Care

Organization Migrant Health Clinic/Center · NPI 1205207933

Our Lady of the Roses Primary Care is a Migrant Health Clinic/Center in Columbus, Georgia. Licensed in Georgia. Registered with an NPI since 2015.

Licensed in
GA
In the registry since
2015

Practice location Address checks out

808 21st St
Columbus, GA 31904-8817
Phone: (706) 587-5771
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Migrant Health Clinic/Center (primary) Taxonomy 261QM1000X · Licence RN042301 (GA)

Record details

NPI number1205207933
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gerald Wieczorek — Business Manager · (706) 327-4880
NPI enumeratedOctober 7, 2015
Last updated in NPPESOctober 7, 2015
Mailing addressPo Box 1957, Fortson, GA 31808-1957