HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY GEORGIA (NPI# 1457648313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457648313 |
| Entity Type | Organization |
| Organization Name | HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY GEORGIA |
| Other Organization Name | SMITH NORTHVIEW EMERGENCY PHYSICIAN GROUP |
| Practice Address |
4280 N Valdosta Rd Valdosta GA 31602-6814 |
| Mailing Address |
Po Box 70 Valdosta GA 31603-0070 |
| Practice Telephone | 2296712000 |
| Practice Fax Number | 2296712054 |
| Mailing Telephone | 2296712000 |
| Mailing Fax Number | 2296712054 |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2013-03-28 |
| Authorized Official Name | MR. JACK RANDALL SAULS (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2293331020 |
| Is Organization Subpart | Y |
| Parent Organization Name | HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY GEORGIA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Smith Northview Emergency Physician Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033160791 | Hospital Authority of Valdosta and Lowndes County Georgia | Clinic/Center | 2209 Pineview Dr, Valdosta, GA 31602-7316 | 2006-05-15 |
| 1629342274 | Hospital Authority of Valdosta and Lowndes County Georgia | Surgery | 2418 N Oak St, Suite F, Valdosta, GA 31602-2576 | 2012-02-29 |
| 1629346390 | Hospital Authority of Valdosta and Lowndes County Georgia | Hospitalist | 4280 N Valdosta Rd, Valdosta, GA 31602-6814 | 2011-12-08 |
| 1467404046 | Hospital Authority of Valdosta and Lowndes County Georgia | Clinic/Center | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2006-05-16 |
| 1306896253 | Hospital Authority of Valdosta and Lowndes County Georgia | Clinic/Center | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2006-05-11 |
| 1528049046 | Hospital Authority of Valdosta and Lowndes County Georgia | Pharmacy | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2005-11-10 |
| Street Address |
4280 N VALDOSTA RD |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602-6814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548252448 | Smith of Georgia, LLC | General Acute Care Hospital | 4280 N Valdosta Rd, Valdosta, GA 31602-6814 | 2005-08-17 |
| 1225412596 | Hospital Authority of Valdosta and Lowndes County, Georgia | Clinic/Center | 4280 N Valdosta Rd, Valdosta, GA 31602-6814 | 2015-07-16 |
| 1962886630 | Hospital Authority of Valdosta and Lowndes County, Georgia | Clinic/Center | 4280 N Valdosta Rd, Valdosta, GA 31602-6814 | 2015-07-13 |
| 1669878971 | Erica Mcclure | Anesthesiologist Assistant | 4280 N Valdosta Rd, Valdosta, GA 31602-6814 | 2014-11-13 |
| 1659799757 | Clifton Blayne Thomas | Family Medicine | 4280 N Valdosta Rd, Valdosta, GA 31602-6814 | 2014-04-04 |
| 1780023911 | Hospital Authority of Valdosta and Lowndes County, Georgia | General Acute Care Hospital | 4280 N Valdosta Rd, Valdosta, GA 31602-6814 | 2013-06-20 |
| 1730447467 | Dana Marie Burgio Adams | Anesthesiologist Assistant | 4280 N Valdosta Rd, Valdosta, GA 31602-6814 | 2012-05-01 |
| 1629346390 | Hospital Authority of Valdosta and Lowndes County Georgia | Hospitalist | 4280 N Valdosta Rd, Valdosta, GA 31602-6814 | 2011-12-08 |
| 1932416252 | Emily R Copeland | Anesthesiologist Assistant | 4280 N Valdosta Rd, Dept of Anesthesia, Valdosta, GA 31602-6814 | 2010-09-08 |
| 1033435664 | Smith of Georgia | General Acute Care Hospital | 4280 N Valdosta Rd, Valdosta, GA 31602-6814 | 2010-04-07 |
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801216007 | Xenophon Mucciarone | Emergency Medicine | 300 N Patterson St, Valdosta, GA 31601-5519 | 2014-04-26 |
| 1205878386 | Alan Stout | Emergency Medicine | 612 N Patterson St, Valdosta, GA 31601-4610 | 2006-06-12 |
| 1679542781 | Douglas Moss | Emergency Medicine | 814 Northwood Park Dr, Valdosta, GA 31602-1398 | 2006-03-14 |
| 1205804622 | Simon Adames | Emergency Medicine | 3386 Greystone Way, Valdosta, GA 31605-1096 | 2006-03-10 |
| 1801887161 | James C Eutzler | Emergency Medicine | 520 Griffin Ave, Valdosta, GA 31601-6331 | 2005-11-04 |
| 1417597170 | Sgmc Physician Network Inc | Emergency Medicine | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2020-01-10 |
| 1447701065 | Nes of Shelby Inc | Emergency Medicine | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2016-10-19 |
| 1992169692 | Keegan Anne Michel | Emergency Medicine | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2016-04-08 |
| 1700248788 | Eric Brent Edgerton | Emergency Medicine | 2501 N Patterson St, Valdosta, GA 31602-1785 | 2016-03-28 |
| 1306208558 | Davis Page Lester | Emergency Medicine | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2016-03-27 |
| 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.