VALDOSTA MEDICAL ASSOCIATES (NPI# 1093831083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093831083 |
| Entity Type | Organization |
| Organization Name | VALDOSTA MEDICAL ASSOCIATES |
| Practice Address |
3300 Greystone Way Valdosta GA 31605-7427 |
| Mailing Address |
1310 Deerbrook Dr Valdosta GA 31602-4245 |
| Practice Telephone | 2292477700 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. PREM KUMAR (MANAGER) |
| Authorized Official Telephone | 2292477700 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
3300 GREYSTONE WAY |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31605-7427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124003587 | Prem Kumar | Internal Medicine | 3300 Greystone Way, Valdosta, GA 31605-1096 | 2005-12-08 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326335993 | South Georgia Medical Practice | Internal Medicine | 2704 N Oak St Bldg A2, Valdosta, GA 31602-5900 | 2011-07-05 |
| 1477782233 | Rose Horne | Internal Medicine | 1616 Norman Dr Ste B, Valdosta, GA 31601-7723 | 2009-07-14 |
| 1265612972 | Jonathan Lance Underwood | Internal Medicine | 3207 Country Club Rd, Valdosta, GA 31605-1029 | 2007-11-09 |
| 1881612067 | Spencer Price | Internal Medicine | 3769 Bear Lake Rd, Valdosta, GA 31601 | 2006-07-17 |
| 1366470650 | Brian C Griner | Internal Medicine | 3301 N Oak Street Ext, Valdosta, GA 31605-1014 | 2006-06-28 |
| 1548297195 | Larry E Smith | Internal Medicine | 5116 Northwind Blvd, Valdosta, GA 31605 | 2006-06-27 |
| 1205873700 | Moneer Ahmad Sohail | Internal Medicine | 3314 Chardon Way, Valdosta, GA 31602-4901 | 2006-06-01 |
| 1588619639 | Dhanraj N Padhiar | Internal Medicine | 207 Northside Dr, Valdosta, GA 31602-1859 | 2006-05-24 |
| 1215990098 | George Sidney Staton | Internal Medicine | 410 Connell Road, Valdosta, GA 31602 | 2006-04-11 |
| 1124003587 | Prem Kumar | Internal Medicine | 3300 Greystone Way, Valdosta, GA 31605-1096 | 2005-12-08 |
| 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.