THE MEDICAL CENTER OF PEACH COUNTY, INC (NPI# 1275775314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275775314 |
| Entity Type | Organization |
| Organization Name | THE MEDICAL CENTER OF PEACH COUNTY, INC |
| Other Organization Name | VALLEY MEDICAL CENTER |
| Practice Address |
701 Bluebird Blvd Fort Valley GA 31030-5085 |
| Mailing Address |
1960 Hwy 247 Connector Byron GA 31008-5663 |
| Practice Telephone | 4788257000 |
| Practice Fax Number | 4788254478 |
| Mailing Telephone | 4786542000 |
| Mailing Fax Number | 4786542001 |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2014-12-15 |
| Authorized Official Name | MS. LISA URBISTONDO (CFO) |
| Authorized Official Telephone | 4788254446 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00001449 | 05 |
| Other Name | Type Code |
|---|---|
| Valley Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114923406 | The Medical Center of Peach County, Inc | General Acute Care Hospital | 1960 Hwy 247 Connector, Byron, GA 31008-5663 | 2005-06-22 |
| 1477677698 | The Medical Center of Peach County, Inc | Medicare Defined Swing Bed Unit | 1960 Hwy 247 Connector, Byron, GA 31008-5663 | 2007-03-16 |
| Street Address |
701 BLUEBIRD BLVD |
| City | FORT VALLEY |
| State | GA |
| Zip Code | 31030-5085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063431716 | Crystal Lynn Brown | Family Medicine | 701 Bluebird Blvd, Fort Valley, GA 31030-5085 | 2006-07-19 |
| 1194066035 | Tameka Deanne Byrd | Family Medicine | 701 Bluebird Blvd, Fort Valley, GA 31030-5085 | 2013-03-01 |
| 1013257633 | Brown Family Practice, LLC | Clinic/Center | 701 Bluebird Blvd, Fort Valley, GA 31030-5085 | 2013-02-19 |
| 1861741100 | Jaekea Coar | Nurse Practitioner | 701 Bluebird Blvd, Fort Valley, GA 31030-5085 | 2012-08-31 |
| 1396987582 | Surgical Practice Facility | Surgery | 701 Bluebird Blvd, Fort Valley, GA 31030-5085 | 2009-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801302997 | Careconnect Health, Inc. | Clinic/Center | 209 North Camellia Blvd., Fort Valley, GA 31030 | 2017-12-27 |
| 1902345408 | Latrina Avant | Counselor | 164 Mahoney Lane, Fort Valley, GA 31030 | 2017-02-16 |
| 1447648159 | Five Points Pharmacy, LLC | Pharmacy | 115 Commercial Heights, Fort Valley, GA 31030 | 2015-01-05 |
| 1316208341 | Ulysses L. Marable IIi, Dmd, LLC | Dentist | 1030 Peach Parkway, Ste 9, Fort Valley, GA 31030 | 2012-06-06 |
| 1083901706 | Church Home Rehabilitation and Healthcare, LLC | Skilled Nursing Facility | 2470 Hwy 41 North, Fort Valley, GA 31030 | 2011-07-01 |
| 1295054393 | Melanie Marie Henson | Counselor | 410 East Church Street, Fort Valley, GA 31030 | 2010-05-28 |
| 1538329016 | First Born Outreach Center Inc | Assisted Living Facility | 103 Lavender Street, Fort Valley, GA 31030 | 2008-06-10 |
| 1871507640 | Gayton Health Centre | Optometrist | 440 Taylors Mill Rd, Fort Valley, GA 31030 | 2006-07-28 |
| 1215906136 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 557 Bluebird Blvd, Fort Valley, GA 31030 | 2006-03-14 |
| 1871568550 | Patricia S Winter | Counselor | 700 Mlk Dr, Ft Valley, GA 31030 | 2006-02-17 |
| Find all providers in zip 31030 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437651924 | Amanda Mckenzie | Clinic/Center | Us Renal Care 657 Hemlock Street, Macon, GA 31206 | 2018-03-01 |
| 1518398049 | Norman Park Family Medicine Clinic | Clinic/Center | 139 East Broad Street, Norman Park, GA 31771 | 2013-12-10 |
| 1992147573 | Doerun Family Medicine Clinic | Clinic/Center | 128 West Broad Ave, Doerun, GA 31744 | 2013-07-23 |
| 1366784415 | Emanuel County Hospital Authority | Clinic/Center | 131a Victory Dr, Swainsboro, GA 30401-3234 | 2013-03-26 |
| 1306114004 | Lower Oconee Community Hospital, Inc | Clinic/Center | 421 W Robinson Dr, Mount Vernon, GA 30445-2935 | 2011-12-08 |
| 1013248962 | Southern Health Corp of Ellijay | Clinic/Center | 60 Old Highway 5 South, Ellijay, GA 30540-5436 | 2010-01-15 |
| 1427384353 | Union County Hospital Authority | Clinic/Center | 103 Church St Ste A, Hiawassee, GA 30546-3223 | 2009-10-28 |
| 1346574084 | Durall Capital Holdings, LLC | Clinic/Center | 59 Tipton Drive, Dahlonega, GA 30533 | 2009-09-29 |
| 1215260617 | Durall Capital Holdings, LLC | Clinic/Center | 35 Lumpkin Campground Road N, Dawsonville, GA 30534 | 2009-09-16 |
| 1376778001 | Phoebe Sumter Medical Center, Inc | Clinic/Center | 339 S Broad St, Ellaville, GA 31806-3304 | 2009-05-26 |
| Find all providers with the same taxonomy | ||||
| City | FORT VALLEY |
| Zip Code | 31030 |
Please comment or provide details below to improve the information on THE MEDICAL CENTER OF PEACH COUNTY, INC.
| 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.