SOUTH GEORGIA ORTHOPEDICS, P.C. (NPI# 1134316920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134316920 |
| Entity Type | Organization |
| Organization Name | SOUTH GEORGIA ORTHOPEDICS, P.C. |
| Practice Address |
2310 N Patterson St Bld. D Valdosta GA 31602-2568 |
| Practice Telephone | 2292472482 |
| Practice Fax Number | 2292470827 |
| Mailing Telephone | 2292472482 |
| Mailing Fax Number | 2292470827 |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2010-08-05 |
| Authorized Official Name | DR. RAYMOND DERRY CROSBY (CEO) |
| Authorized Official Telephone | 2292472482 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
29316 | GA | Ambulatory Health Care Facilities |
| Street Address |
2310 N PATTERSON ST BLD. D |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602-2568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215938501 | Raymond Derry Crosby | Orthopaedic Surgery | 2310 N Patterson St, Bldg D, Valdosta, GA 31602-2568 | 2005-08-09 |
| 1770951253 | Dustin Goff | Nurse Anesthetist, Certified Registered | 2310 N Patterson St, Suite C, Valdosta, GA 31602-2568 | 2015-09-14 |
| 1891095840 | Karen Alene Bowser | Nurse Practitioner | 2310 N Patterson St, Suite G, Valdosta, GA 31602-2568 | 2010-10-25 |
| 1104134683 | Stephany Ann Norris | Counselor | 2310 N Patterson St, Suite G, Valdosta, GA 31602-2568 | 2010-09-18 |
| 1306090675 | Justin Mark Booth | Anesthesiologist Assistant | 2310 N Patterson St, Bldg C, Valdosta, GA 31602-2568 | 2008-11-12 |
| 1023275757 | Kelly Delayne Jones | Social Worker | 2310 N Patterson St, Suite G, Valdosta, GA 31602-2568 | 2008-05-20 |
| 1053527945 | Leah Carol Mcmillan | Marriage & Family Therapist | 2310 N Patterson St, Suite G, Valdosta, GA 31602-2568 | 2007-05-15 |
| 1316020043 | Southern Eye Center, PC | Optometrist | 2310 N Patterson St, Suite B, Valdosta, GA 31602-2568 | 2006-10-24 |
| 1467556944 | Lance Jason Haluka | Optometrist | 2310 N Patterson St, Suite B, Valdosta, GA 31602-2568 | 2006-09-12 |
| 1205947496 | Mark Joseph Eanes | Ophthalmology | 2310 N Patterson St, Suite B, Valdosta, GA 31602-2568 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477198117 | Amber Michele Baugh | Behavior Technician | 2236 Bemiss Road, Valdosta, GA 31602 | 2019-11-15 |
| 1528611365 | Nishaben T. Patel | Nurse Practitioner | 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 | 2019-07-22 |
| 1427615871 | Blair Elizabeth Tomlinson | Nurse Practitioner | 2124 Lakeshore Drive, Valdosta, GA 31602 | 2019-05-21 |
| 1346704152 | Mildred Itaska Borowski | Counselor | 3790 North Highway 41, Suite A, Valdosta, GA 31602 | 2019-01-25 |
| 1962991703 | Southern Healthcare Alliance, LLC | Physical Medicine & Rehabilitation | 101-f W. Northside Drive, Valdosta, GA 31602 | 2018-05-08 |
| 1336636646 | Kaitlyn Thrift | Behavioral Analyst | 2225 Bemiss Road Suite D, Valdosta, GA 31602 | 2018-04-23 |
| 1407379845 | Lindsey Marie Richardson | Dentist | 103 W. Cranford Ave, Valdosta, GA 31602 | 2017-07-18 |
| 1962922427 | Taylor Nicole Fiveash | Nurse Practitioner | 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 | 2017-06-26 |
| 1720520646 | Southern Sleepers Anesthesia LLC | Nurse Anesthetist, Certified Registered | 4120-b N. Valdosta Road, Valdosta, GA 31602 | 2016-11-09 |
| 1134670557 | Cataract and Laser Surgery Center of South Georgia, P.C. | Clinic/Center | 4120-b N. Valdosta Rd., Valdosta, GA 31602 | 2016-10-20 |
| Find all providers in zip 31602 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356521595 | Plastic Surgery Associates of Valdosta | Clinic/Center | 230 Northside Dr, Valdosta, GA 31602-1858 | 2007-11-05 |
| 1558341057 | Urological Clinic of Valdosta | Clinic/Center | 3000 N Patterson St, Valdosta, GA 31602-1711 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376865 | Deyoe Wellness | Clinic/Center | 47 Commerce Dr Ste 1b, Blairsville, GA 30512-8929 | 2020-08-11 |
| 1992331581 | World Spine and Orthopedics LLC | Clinic/Center | 4296 Memorial Dr Ste C, Decatur, GA 30032-1227 | 2020-03-16 |
| 1619517968 | Carroll Total Healthcare,pc | Clinic/Center | 410 Peachtree Pkwy Ste 4226, Cumming, GA 30041-7439 | 2020-01-14 |
| 1528601200 | Blued Consultant Solutions, LLC | Clinic/Center | 256 Rainbow Ln, Mcdonough, GA 30252-4839 | 2019-10-24 |
| 1578113585 | Centro Prenatal De Gwinnett LLC | Clinic/Center | 575 W Pike St Ste 1, Lawrenceville, GA 30046-7685 | 2019-09-12 |
| 1316508815 | Atlanta Health Clinic LLC | Clinic/Center | 2480 Windy Hill Rd Se Ste 404, Marietta, GA 30067-8658 | 2019-06-25 |
| 1659880847 | Jones Medical and Educational Consultants | Clinic/Center | 8954 Hospital Dr Bldg C, Douglasville, GA 30134-2200 | 2017-09-20 |
| 1477005593 | Hirenirali LLC | Clinic/Center | 12390 Beragio Pl, Alpharetta, GA 30004-4188 | 2016-10-25 |
| 1851840961 | Tele Doctor Direct Inc | Clinic/Center | 1250 Powers Ferry Cmn Se, Suite 100, Marietta, GA 30067-6046 | 2016-09-30 |
| 1154870533 | Life Point Medical, LLC | Clinic/Center | 189 Bo James Street, Suite 105, Clayton, GA 30525 | 2016-09-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.