HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY, GEORGIA (NPI# 1780023911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780023911 |
| Entity Type | Organization |
| Organization Name | HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY, GEORGIA |
| Other Organization Name | SMITH NORTHVIEW HOSPITAL, A CAMPUS OF SOUTH GEORGIA MEDICAL CENTER |
| Practice Address |
4280 N Valdosta Rd Valdosta GA 31602-6814 |
| Mailing Address |
Po Box 0070 Valdosta GA 31603-0070 |
| Practice Telephone | 2294338000 |
| Mailing Telephone | 2294338000 |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2014-06-04 |
| 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 | 282N00000X | General Acute Care Hospital | 092-141 | GA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000001724G | 05 |
| Other Name | Type Code |
|---|---|
| Smith Northview Hospital, A Campus of South Georgia Medical Center | 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 |
| 1699114827 | Hospital Authority of Valdosta and Lowndes County, Georgia | Family Medicine | 2501 N Patterson St, Valdosta, GA 31602-1735 | 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 |
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 |
| 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 |
| 1457648313 | Hospital Authority of Valdosta and Lowndes County Georgia | Emergency Medicine | 4280 N Valdosta Rd, Valdosta, GA 31602-6814 | 2011-06-29 |
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891045191 | South Georgia Medical Center | General Acute Care Hospital | 2501 North Patterson St, Valdosta, GA 31636 | 2012-09-13 |
| 1548252448 | Smith of Georgia, LLC | General Acute Care Hospital | 4280 N Valdosta Rd, Valdosta, GA 31602-6814 | 2005-08-17 |
| 1649641721 | South Georgia Medical Center | General Acute Care Hospital | 209 Pendleton Dr, Valdosta, GA 31602-1729 | 2015-10-14 |
| 1598013377 | Lori Trouille | General Acute Care Hospital | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2012-08-27 |
| 1033435664 | Smith of Georgia | General Acute Care Hospital | 4280 N Valdosta Rd, Valdosta, GA 31602-6814 | 2010-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902459316 | Au Medical Center, Inc | General Acute Care Hospital | 1348 Walton Way Ste 6300c, Augusta, GA 30901-5104 | 2019-07-24 |
| 1841651056 | Kamran Rajaee | General Acute Care Hospital | 5081 Sunset Trl, Marietta, GA 30068-4734 | 2016-03-15 |
| 1144687070 | Globale, LLC | General Acute Care Hospital | 750 Dalrymple Rd Apt B2, Atlanta, GA 30328-1434 | 2016-01-22 |
| 1649645011 | Clarence Waugh | General Acute Care Hospital | 171 Sterling Ridge Dr, Riverdale, GA 30274-4637 | 2015-12-09 |
| 1548632045 | Allbright Professional Blood Services | General Acute Care Hospital | 1043 River Forest Pt, Lawrenceville, GA 30045-2600 | 2015-10-22 |
| 1790173094 | Piedmont Healthcare | General Acute Care Hospital | 2124 Mckinley Rd Nw, Atlanta, GA 30318-1708 | 2015-01-08 |
| 1790183622 | Pauline L. Jacinto Md | General Acute Care Hospital | 104 Lakeshore Dr Ste B, Saint Marys, GA 31558-3809 | 2014-12-09 |
| 1073937892 | Emory University Hospital | General Acute Care Hospital | 5207 Peachtree Creek Cir, Atlanta, GA 30341-5364 | 2014-02-13 |
| 1063856706 | Keystone Surgical Associates | General Acute Care Hospital | 2525 Kirk Pointe Cv Nw, Kennesaw, GA 30152-6239 | 2013-04-24 |
| 1679810022 | Proficiency Scribes Cs, LLC | General Acute Care Hospital | 114 Bradley Rd, Jackson, GA 30233-3702 | 2013-01-04 |
| Find all providers with the same taxonomy | ||||
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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.