THE MIGRAINE AND SPINE CLINIC OF VALDOSTA LLC (NPI# 1811342561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811342561 |
| Entity Type | Organization |
| Organization Name | THE MIGRAINE AND SPINE CLINIC OF VALDOSTA LLC |
| Practice Address |
3315 N Valdosta Rd Suite A Valdosta GA 31602-1107 |
| Practice Telephone | 2293339838 |
| Practice Fax Number | 2293339839 |
| Mailing Telephone | 2293339838 |
| Mailing Fax Number | 2293339839 |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2016-05-02 |
| Authorized Official Name | JONATHAN SULE (MANAGER) |
| Authorized Official Telephone | 2293339838 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
60329 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
3315 N VALDOSTA RD SUITE A |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602-1107 |
| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013544899 | Southern Neurology, Physical Medicine & Rehabilitation, LLC | Psychiatry & Neurology | 4913 Lanes Pond Rd, Valdosta, GA 31601-1537 | 2020-03-24 |
| 1376783811 | P. Edwards Conrad Md. P.C. | Psychiatry & Neurology | 2935 N Ashley St Ste D-116, Valdosta, GA 31602-1788 | 2009-02-24 |
| 1932384260 | Jonathan Alex Sule Sr. | Psychiatry & Neurology | 3790 Old U.S. Hwy 41 North, Suite B, Valdosta, GA 31602-1398 | 2008-01-06 |
| 1184606824 | Mahmood Sayied Eisa | Psychiatry & Neurology | 4274 N Valdosta Rd, Valdosta, GA 31602-6814 | 2005-11-17 |
| 1194706911 | Sheri L Swader | Psychiatry & Neurology | 101f W Northside Dr, Valdosta, GA 31602-1700 | 2005-11-09 |
| 1720074602 | Penelope Edwards-conrad | Psychiatry & Neurology | 2935 N Ashley St, D116, Valdosta, GA 31602-1777 | 2005-09-26 |
| 1578605259 | Steven Brian Dawson | Psychiatry & Neurology | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2007-02-12 |
| 1689786055 | Hernan N Posas Jr. | Psychiatry & Neurology | 4274 N Valdosta Rd, Valdosta, GA 31602-6814 | 2006-08-31 |
| 1356453914 | Bipin R Patel | Psychiatry & Neurology | 4274 N Valdosta Rd, Valdosta, GA 31602-6814 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912474537 | Atlanta Neuromonitoring, LLC | Psychiatry & Neurology | 922 Highway 81 East # 242, Mcdonough, GA 30252 | 2018-11-01 |
| 1366925497 | David Wayne Richardson | Psychiatry & Neurology | 400 Rock Springs Road Ne, Atlanta, GA 30324 | 2018-09-14 |
| 1407349103 | Ahmed Babiker | Psychiatry & Neurology | 1130 15th St, Augusta, GA 30912-0004 | 2018-06-07 |
| 1164882635 | Lafayette Neurology, PC | Psychiatry & Neurology | 1075 Lafayette Parkway, Suite 210, Lagrange, GA 30241-3584 | 2016-02-26 |
| 1144601048 | Catherine Lockhart | Psychiatry & Neurology | 2470 Daniels Bridge Rd Ste 261, Athens, GA 30606-6188 | 2015-06-16 |
| 1609266634 | Bruce Gillett | Psychiatry & Neurology | 948 Greymont Cir Nw, Marietta, GA 30064-1328 | 2015-01-29 |
| 1245620244 | Darla R Totten Md | Psychiatry & Neurology | 3780 Northside Dr, 197, Macon, GA 31210-2431 | 2015-01-28 |
| 1033516356 | Neuro Proread Solutions | Psychiatry & Neurology | 2378 Riderwood Court, Marietta, GA 30062-4689 | 2014-12-02 |
| 1649680844 | Adam Dickey | Psychiatry & Neurology | 49 Jesse Hill Jr Dr Se Ste 470, Atlanta, GA 30303-3049 | 2014-04-28 |
| 1487074647 | Alzhacare LLC | Psychiatry & Neurology | 5 Saddle Trl Se, Rome, GA 30161-6829 | 2014-04-25 |
| 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.