HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY, GEORGIA (NPI# 1699114827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699114827 |
Entity Type | Organization |
Organization Name | HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY, GEORGIA |
Other Organization Name | SGMC PHYSICIAN'S GROUP |
Practice Address |
2501 N Patterson St Valdosta GA 31602-1735 |
Mailing Address |
Po Box 9 Valdosta GA 31603-0009 |
Practice Telephone | 2294331000 |
Mailing Telephone | 2294331000 |
Enumeration Date | 2013-06-20 |
Last Update Date | 2019-08-22 |
Authorized Official Name | MRS. JULIE HODGES (CONTROLLER) |
Authorized Official Telephone | 2292594140 |
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 |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | 092-141 | GA | Allopathic & Osteopathic Physicians |
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
092-141 | GA | Allopathic & Osteopathic Physicians |
N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
092-141 | GA | Allopathic & Osteopathic Physicians |
N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
092-141 | GA | Allopathic & Osteopathic Physicians |
N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
092-141 | GA | Allopathic & Osteopathic Physicians |
N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
092-141 | GA | Allopathic & Osteopathic Physicians |
N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
092-141 | GA | Allopathic & Osteopathic Physicians |
N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
092-141 | GA | Allopathic & Osteopathic Physicians |
N | 208100000X | Physical Medicine & Rehabilitation | 092-141 | GA | Allopathic & Osteopathic Physicians |
N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
092-141 | GA | Allopathic & Osteopathic Physicians |
Y | 208D00000X | General Practice | 092-141 | GA | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
SGMC Physician's Group | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194141549 | Hospital Authority of Valdosta and Lowndes County, Georgia | Nursing Facility/Intermediate Care Facility | 120 W Thigpen Ave, Lakeland, GA 31635-1011 | 2014-03-10 |
1447591649 | Hospital Authority of Valdosta and Lowndes County, Georgia | Clinic/Center | 603 E Dennis Ave, Nashville, GA 31639-2510 | 2013-03-13 |
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 |
1629495569 | Hospital Authority of Valdosta and Lowndes County, Georgia | Skilled Nursing Facility | 120 W Thigpen Ave, Lakeland, GA 31635-1011 | 2014-03-27 |
1932525383 | Hospital Authority of Valdosta and Lowndes County, Georgia | Medicare Defined Swing Bed Unit | 116 W Thigpen Ave, Lakeland, GA 31635-1011 | 2014-03-10 |
1518382217 | Hospital Authority of Valdosta and Lowndes County, Georgia | General Acute Care Hospital | 116 W Thigpen Ave, Lakeland, GA 31635-1011 | 2014-03-04 |
1780023911 | Hospital Authority of Valdosta and Lowndes County, Georgia | General Acute Care Hospital | 4280 N Valdosta Rd, Valdosta, GA 31602-6814 | 2013-06-20 |
1720329964 | Hospital Authority of Valdosta and Lowndes County, Georgia | Medicare Defined Swing Bed Unit | 1221 E Mcpherson Ave, Nashville, GA 31639-2326 | 2013-03-13 |
1174864417 | Hospital Authority of Valdosta and Lowndes County, Georgia | Psychiatric Unit | 1221 E Mcpherson Ave, Nashville, GA 31639-2326 | 2013-03-12 |
Street Address |
2501 N PATTERSON ST |
City | VALDOSTA |
State | GA |
Zip Code | 31602-1735 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578566964 | John William Devine | Radiology | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2005-05-31 |
1770100422 | Hospital Authority of Valdosta & Lowndes County, Ga | Clinical Medical Laboratory | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2020-06-29 |
1700410602 | Danielle C Yund | Nurse Practitioner | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2020-02-28 |
1417597170 | Sgmc Physician Network Inc | Emergency Medicine | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2020-01-10 |
1497390116 | Stacey Newsome | Registered Nurse | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2019-11-18 |
1508417296 | Coastal Plain Radiology LLC | Radiology | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2019-09-24 |
1760030050 | Larissa Kathleen Frauenheim | Nurse Practitioner | 2501 N Patterson St, Valdosta, GA 31602-1785 | 2019-08-29 |
1336794734 | Jeffery Allan Baggett | Nurse Anesthetist, Certified Registered | 2501 N Patterson St, Valdosta, GA 31602-1785 | 2019-08-03 |
1689130312 | Kala Jo Bugg | Nurse Practitioner | 2501 N Patterson St, Valdosta, GA 31602-1785 | 2019-02-19 |
1588149819 | Philip Andrew Cooper | Nurse Practitioner | 2501 N Patterson St, Valdosta, GA 31602-1785 | 2018-10-02 |
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 | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275725137 | John B. Hunt, M.d., P.C. | General Practice | 2704 N Oak St, Building A-2, Valdosta, GA 31602-1744 | 2007-08-15 |
1114038114 | John B Hunt | General Practice | 2704 N Oak St, Building A-2, Valdosta, GA 31602-1744 | 2006-08-31 |
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1225638166 | Ihealthgp, LLC | General Practice | 10202 Masters Way, Alpharetta, GA 30005-8842 | 2020-10-29 |
1447861950 | Phynova Mso, LLC | General Practice | 1718 Peachtree St Nw Ste 380, Atlanta, GA 30309-2498 | 2020-08-10 |
1811507247 | Magnolia Medical Center LLC | General Practice | 101 Chase Ct Nw Ste B, Milledgeville, GA 31061-7188 | 2020-07-31 |
1952927279 | Total Health Solutions Medical Center | General Practice | 12220 Birmingham Hwy Ste A, Milton, GA 30004-4184 | 2020-06-23 |
1386260131 | Midnight Rose, LLC | General Practice | 6380 Bells Ferry Rd, Acworth, GA 30102-5435 | 2020-06-17 |
1477176394 | Optimal Choice Telehealth | General Practice | 1227 Rockbidge Rd Sw, Ste 208-354, Stone Mountain, GA 30087 | 2020-05-27 |
1053946004 | Proactive Medical Center | General Practice | 3455 Peachtree Industrial Blvd Ste 910, Duluth, GA 30096-6502 | 2020-03-10 |
1285265546 | Idea Body Institute Atlanta Asc | General Practice | 371 E Paces Ferry Rd Ne Ste 450, Atlanta, GA 30305-3292 | 2020-01-27 |
1730729849 | Summit Health Primary and Urgent Care LLC | General Practice | 120 Handley Rd Bldg 400 Ste #410, Tyrone, GA 30290-3029 | 2020-01-07 |
1770121030 | New Life Medical Centers Georgia LLC | General Practice | 3550 Lenox Rd Ne Ste 2100, Atlanta, GA 30326-1810 | 2019-12-18 |
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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.