SOUTH GEORGIA PSYCHIATRIC & COUNSELING CENTER (NPI# 1477680973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477680973 |
| Entity Type | Organization |
| Organization Name | SOUTH GEORGIA PSYCHIATRIC & COUNSELING CENTER |
| Practice Address |
2704 N Oak St Building B-3 Valdosta GA 31602-1744 |
| Practice Telephone | 2292570100 |
| Practice Fax Number | 2292570050 |
| Mailing Telephone | 2292570100 |
| Mailing Fax Number | 2292570050 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. CAROL SHEFFIELD (OFFICE MANAGER) |
| Authorized Official Telephone | 2292570100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
2704 N OAK ST BUILDING B-3 |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602-1744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669471926 | George P Pennington | Surgery | 2704 N Oak St, Valdosta, GA 31602-1744 | 2005-07-19 |
| 1821534033 | Laura Johnson | Speech-Language Pathologist | 2704 N Oak St, Unit K, Valdosta, GA 31602-1744 | 2017-01-11 |
| 1154878866 | Daniel Haney | Nurse Practitioner | 2704 N Oak St, Suite B-3, Valdosta, GA 31602-1744 | 2016-09-10 |
| 1740678663 | Bessie R Caquelard | Speech-Language Pathologist | 2704 N Oak St, Bldg A-2, Valdosta, GA 31602-1744 | 2014-12-30 |
| 1396097325 | Britini L Holder | Speech-Language Pathologist | 2704 N Oak St, Bldg K, Valdosta, GA 31602-1744 | 2012-10-15 |
| 1679876858 | Bethany E Dollar | Social Worker | 2704 N Oak St, Building B-3, Valdosta, GA 31602-1744 | 2010-12-10 |
| 1134429582 | Radiology Associates of Valdosta, LLC | Radiology | 2704 N Oak St, Bldg E, Valdosta, GA 31602-1744 | 2010-11-01 |
| 1225366172 | Marcie C Wiseman | Psychologist | 2704 N Oak St, Building B-3, Valdosta, GA 31602-1744 | 2009-12-03 |
| 1376771113 | Mccowan Surgical Associates | Surgery | 2704 N Oak St, Suite A2, Valdosta, GA 31602-1744 | 2009-07-01 |
| 1275725137 | John B. Hunt, M.d., P.C. | General Practice | 2704 N Oak St, Building A-2, Valdosta, GA 31602-1744 | 2007-08-15 |
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346704152 | Mildred Itaska Borowski | Counselor | 3790 North Highway 41, Suite A, Valdosta, GA 31602 | 2019-01-25 |
| 1154814226 | Family Insight, LLC | Counselor | 3350 Noble Way Ste A, Valdosta, GA 31605-7444 | 2018-06-12 |
| 1124538707 | Vanessa Y. Taylor | Counselor | 2601 Bemiss Rd Ste Q, Valdosta, GA 31602-1450 | 2017-10-09 |
| 1932592474 | Erica Gail Mortonson | Counselor | 3525 River Chase Dr, Valdosta, GA 31602-0801 | 2015-03-09 |
| 1104241975 | Bradford Coleman | Counselor | 1805 Green Cir, Valdosta, GA 31602-2734 | 2014-03-03 |
| 1497181960 | Demetria Miranda Hill | Counselor | 705 Lausanne Dr, Valdosta, GA 31601-4153 | 2013-09-17 |
| 1609210020 | Felicia Cora Ratliff | Counselor | 3904 Danube Cir, Valdosta, GA 31605-7065 | 2013-04-29 |
| 1174887483 | Lee Tyson Wade | Counselor | 1205 Baytree Road, #8, Valdosta, GA 31602 | 2012-07-02 |
| 1366760696 | Rachael Shingler Holloman | Counselor | 1803 Canterbury Dr Ste C, Valdosta, GA 31602-0505 | 2010-05-11 |
| 1437310588 | Connie Moore Spencer | Counselor | 3820 Merriman Ct, Valdosta, GA 31605-7703 | 2008-06-20 |
| 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.