| LCA CASE NUMBER | I-200-21172-413804 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-21 |
| DECISION DATE | 2021-06-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1069 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-30 |
| END DATE | 2024-07-29 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Columbus Ambulatory Healthcare Services, Inc. |
| TRADE NAME DBA | Piedmont Columbus Regional Medical Group |
| EMPLOYER ADDRESS1 | 707 Center Street |
| EMPLOYER ADDRESS2 | Ste. 110 |
| EMPLOYER CITY | Columbus |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 31901 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 117066606103 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Hill |
| EMPLOYER POC FIRST NAME | Scott |
| EMPLOYER POC JOB TITLE | C.E.O. |
| EMPLOYER POC ADDRESS 1 | 707 Center Street |
| EMPLOYER POC ADDRESS 2 | Ste. 110 |
| EMPLOYER POC CITY | Columbus |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 31901 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 117066606103 |
| EMPLOYER POC EMAIL | scott.hill@piedmont.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Fleming |
| AGENT ATTORNEY FIRST NAME | Sara |
| AGENT ATTORNEY MIDDLE NAME | M |
| AGENT ATTORNEY ADDRESS1 | 66 Pearl Street |
| AGENT ATTORNEY ADDRESS2 | Ste. 311 |
| AGENT ATTORNEY CITY | Portland |
| AGENT ATTORNEY STATE | ME |
| AGENT ATTORNEY POSTAL CODE | 4101 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12076137331 |
| AGENT ATTORNEY EMAIL ADDRESS | sfleming@fordmurraylaw.com |
| LAWFIRM NAME BUSINESS NAME | FordMurray |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1117 20th Street |
| LCA CASE WORKLOC1 CITY | Columbus |
| WORKSITE COUNTY | MUSCOGEE |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 31901 |
| LCA CASE WAGE RATE FROM | 520000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 282755 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Fleming |
| PREPARER FIRST NAME | Sara |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | FordMurray |
| PREPARER EMAIL | sfleming@fordmurraylaw.com |
