ORTHOPEDIC SURGEONS OF GEORGIA LLC (NPI# 1306125174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306125174 |
| Entity Type | Organization |
| Organization Name | ORTHOPEDIC SURGEONS OF GEORGIA LLC |
| Other Organization Name | ORTHOPEDIC SURGEONS OF GEORGIA |
| Practice Address |
2804 N Oak St Ste C Valdosta GA 31602-5913 |
| Practice Telephone | 9123836575 |
| Mailing Telephone | 2292499626 |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2017-09-07 |
| Authorized Official Name | MRS. LAVONDA L. CRAVEY (CONTROLLER) |
| Authorized Official Telephone | 9123835600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | GA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Orthopedic Surgeons of Georgia | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487144960 | Orthopedic Surgeons of Georgia LLC | Physical Medicine & Rehabilitation | 11 Cross St, Hazlehurst, GA 31539-6427 | 2018-05-10 |
| 1477042935 | Orthopedic Surgeons of Georgia LLC | Physical Medicine & Rehabilitation | 1050 Valdosta Hwy, Homerville, GA 31634-9701 | 2018-05-09 |
| 1396084158 | Orthopedic Surgeons of Georgia LLC | Orthopaedic Surgery | 2015 Alice St, Waycross, GA 31501-6209 | 2013-02-13 |
| 1780963553 | Orthopedic Surgeons of Georgia LLC | Orthopaedic Surgery | 17 Johnson St, Hazlehurst, GA 31539-6243 | 2011-08-11 |
| 1205115078 | Orthopedic Surgeons of Georgia LLC | Orthopaedic Surgery | 1622 Madison Ave, Tifton, GA 31794-3756 | 2011-08-11 |
| 1427337294 | Orthopedic Surgeons of Georgia LLC | Orthopaedic Surgery | 100 Doctors Dr Ste I, Douglas, GA 31533-2211 | 2011-08-11 |
| Street Address |
2804 N OAK ST STE C |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602-5913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754274 | Flora Virginia Eleace Gatewood | Physical Therapist | 2804 N Oak St Ste C, Valdosta, GA 31602-5913 | 2020-09-08 |
| 1326661968 | John Richard Williams Jr. | Massage Therapist | 2804 N Oak St Ste C, Valdosta, GA 31602-5913 | 2020-05-18 |
| 1588214597 | Denise Fields, Rdn, LLC | Dietitian, Registered | 2804 N Oak St Ste C, Valdosta, GA 31602-5913 | 2019-09-12 |
| 1023532280 | Nathan Kelly Roberson | Nurse Practitioner | 2804 N Oak St Ste C, Valdosta, GA 31602-5913 | 2017-07-31 |
| 1699142661 | Daniel Day | Chiropractor | 2804 N Oak St Ste C, Valdosta, GA 31602-5913 | 2015-08-26 |
| 1457695058 | Joshua T Rhue | Physical Therapist | 2804 N Oak St Ste C, Valdosta, GA 31602-5913 | 2012-11-20 |
| 1861760613 | Care Medical Center, LLC | Non-Pharmacy Dispensing Site | 2804 N Oak St Ste C, Valdosta, GA 31602-5913 | 2011-12-08 |
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427197631 | William Louis Bacon | Orthopaedic Surgery | 206 E Adair St, Valdosta, GA 31601-4508 | 2007-02-05 |
| 1750446506 | Brook Goff Bearden | Orthopaedic Surgery | 4340 Kings Way, Valdosta, GA 31602-6921 | 2006-12-22 |
| 1215938501 | Raymond Derry Crosby | Orthopaedic Surgery | 2310 N Patterson St, Bldg D, Valdosta, GA 31602-2568 | 2005-08-09 |
| 1083618052 | Charles W Sanderlin Jr. | Orthopaedic Surgery | 3527 N Valdosta Rd, Valdosta, GA 31602-1068 | 2005-06-08 |
| 1841452505 | Michael Allen Clark | Orthopaedic Surgery | 3527 N Valdosta Rd, Valdosta, GA 31602-6418 | 2008-06-25 |
| 1124280862 | Paul Dolphous Lane Jr. | Orthopaedic Surgery | 3527 N Valdosta Rd, Valdosta, GA 31602-6418 | 2008-06-25 |
| 1225217987 | St. Francis Hospital | Orthopaedic Surgery | 3368 Greystone Way, Valdosta, GA 31605-1096 | 2007-10-30 |
| 1023219672 | Eric C. Stiefel | Orthopaedic Surgery | 3527 N Valdosta Rd, Valdosta, GA 31602-6418 | 2007-05-30 |
| 1104031541 | C Curt Starling Mdpc | Orthopaedic Surgery | 5116 Northwind Blvd, Valdosta, GA 31605-7672 | 2007-05-11 |
| 1174737266 | Brook G Bearden Mdpc | Orthopaedic Surgery | 5116 Northwind Blvd, Valdosta, GA 31605-7672 | 2007-05-09 |
| Find all providers in VALDOSTA | ||||
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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.