INNOVATIVE PHYSICIANS (NPI# 1477812410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477812410 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE PHYSICIANS |
| Practice Address |
3368 Greystone Way Valdosta GA 31605-1096 |
| Practice Telephone | 2292426670 |
| Practice Fax Number | 2292426671 |
| Mailing Telephone | 2292426670 |
| Mailing Fax Number | 2292426671 |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2012-05-15 |
| Authorized Official Name | MS. PAM JONES (OFFICE MANAGER) |
| Authorized Official Telephone | 2292426670 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699020339 | Innovative Physicians | Chiropractor | 911 W Anderson Ln, Ste 103, Austin, TX 78757-1501 | 2012-07-18 |
| 1780969097 | Innovative Physicians | Family Medicine | 5656 Bee Cave Rd, E-200, West Lake Hills, TX 78746-5280 | 2011-10-18 |
| Street Address |
3368 GREYSTONE WAY |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31605-1096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689638579 | Innovative Rehab Solutions, LLC | Occupational Therapist | 3368 Greystone Way, Valdosta, GA 31605 | 2006-04-17 |
| 1649689712 | Ashley Marie Beauchamp | Specialist/Technologist | 3368 Greystone Way, Valdosta, GA 31605-1096 | 2014-08-04 |
| 1619382850 | Maria Buo | Physical Therapist | 3368 Greystone Way, Valdosta, GA 31605-1096 | 2014-06-26 |
| 1629498571 | Parker Arnold | Physical Therapist | 3368 Greystone Way, Valdosta, GA 31605-1096 | 2014-04-18 |
| 1912204512 | Shannon Hill Peacock | Physical Therapist | 3368 Greystone Way, Valdosta, GA 31605-1096 | 2011-02-16 |
| 1225217987 | St. Francis Hospital | Orthopaedic Surgery | 3368 Greystone Way, Valdosta, GA 31605-1096 | 2007-10-30 |
| 1508055708 | Melody B Goodson | Speech-Language Pathologist | 3368 Greystone Way, Valdosta, GA 31605-1096 | 2007-10-24 |
| 1588854061 | Leah Ann Brant | Speech-Language Pathologist | 3368 Greystone Way, Valdosta, GA 31605 | 2007-07-31 |
| 1063456846 | Robertus Wolters | Physical Therapist | 3368 Greystone Way, Valdosta, GA 31605-1096 | 2006-06-15 |
| 1710929229 | Allison Warren Crenshaw | Speech-Language Pathologist | 3368 Greystone Way, Valdosta, GA 31605-1096 | 2006-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484718 | Mckenna Kristine Bachmann | Specialist/Technologist | Moody Air Force Base, Valdosta, GA 31605 | 2020-07-14 |
| 1376056366 | Michael Brent Robinson Sr. | Contractor | 3863 Camellia Dr., Valdosta, GA 31605 | 2017-11-13 |
| 1679013452 | Baptist Specialty Physicians Inc | Pediatrics | 3301 N Oak St Ext, Valdosta, GA 31605 | 2017-02-28 |
| 1649683541 | Dustin Ross Kilby | Dentist | 2704 Oak Center Dr, Valdosta, GA 31605 | 2014-06-09 |
| 1659643286 | Brittnaey Nicole Freeman | Behavioral Analyst | 3982 Karaline Cir, Valdosta, GA 31605 | 2012-01-27 |
| 1780970335 | Laura Christen Cribbs | Counselor | 3312-d N Oak Street Ext, Valdosta, GA 31605 | 2011-06-22 |
| 1992090633 | Mary Katelyn Harper | Pharmacist | 3200 North Oak Street, Valdosta, GA 31605 | 2011-06-10 |
| 1053532937 | Robert Mark Pearson | Dentist | 3227 N. Oak St. Ext., Valdosta, GA 31605 | 2007-05-01 |
| 1083838650 | Am Sleep Diagnostics and Research Center | Clinic/Center | 3334 Greyatone Way, Valdosta, GA 31605 | 2007-04-12 |
| 1831236181 | William Ashley Moorman | Dentist | Advanced Dental Care, 3211 Wildwood Plantation Drive, Valdosta, GA 31605 | 2007-01-30 |
| Find all providers in zip 31605 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760793178 | Frantz E Felix | Family Medicine | 3879 Island Creek Rd, Valdosta, GA 31601-0189 | 2010-06-30 |
| 1598084386 | Laura Guadiana | Family Medicine | 3374 Greystone Way, Valdosta, GA 31605-1096 | 2010-05-19 |
| 1912138116 | Parrott Medical Clinic PC | Family Medicine | 804 Northwood Park Dr, Valdosta, GA 31602-1392 | 2009-08-05 |
| 1184854226 | Quality Group Service Inc | Family Medicine | 3338 Country Club Rd Ste L, Ste. 200, Valdosta, GA 31605-7425 | 2009-07-23 |
| 1720224298 | Southern Skin & Wellness Center | Family Medicine | 3321 N Valdosta Rd Ste B, Valdosta, GA 31602-1685 | 2009-01-05 |
| 1356559801 | Raymond Avery Moody IIi | Family Medicine | 3567 Val-tech Rd., Valdosta State Prison, Valdosta, GA 31602 | 2007-05-18 |
| 1033234315 | Jeri Lynn Sheffield | Family Medicine | 3548b Northcrossing Cir, Valdosta, GA 31602-1067 | 2007-03-19 |
| 1154401107 | Vera C Garcia | Family Medicine | 4370 Kings Way Ste E, Valdosta, GA 31602 | 2006-10-16 |
| 1629177324 | Jennetta M Christie | Family Medicine | 2317 Bemiss Rd, Valdosta, GA 31602-1934 | 2006-09-21 |
| 1831107234 | Marian Antoinette Patterson | Family Medicine | 3790 Old Us Highway 41 N Ste A, Bldg N, Valdosta, GA 31602-6865 | 2006-08-03 |
| 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.