Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Columbus Southern Medical Group LLC

Organization Clinic/Center · NPI 1174709422

Columbus Southern Medical Group LLC provides Clinic/Center services in Columbus, Ohio. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2912 S High St
Columbus, OH 43207-3616 Not confirmed with CMS for 18 years — call before visiting
Phone: (614) 497-3400
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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 number1174709422
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Lake — Medical Director · (614) 497-3400
NPI enumeratedJanuary 17, 2008
Last updated in NPPESJanuary 17, 2008
Mailing address2912 S High St, Columbus, OH 43207-3616

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