WELLNESS CENTER OF VALDOSTA (NPI# 1124364534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124364534 |
| Entity Type | Organization |
| Organization Name | WELLNESS CENTER OF VALDOSTA |
| Practice Address |
206 E Adair St Valdosta GA 31601-4508 |
| Practice Telephone | 2292694250 |
| Practice Fax Number | 2292694521 |
| Mailing Telephone | 2292694250 |
| Mailing Fax Number | 2292694521 |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2012-12-13 |
| Authorized Official Name | MS. NILAJA BIGGS (MANAGER) |
| Authorized Official Telephone | 2292694250 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | 9760 | GA | Managed Care Organizations |
| Street Address |
206 E ADAIR ST |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31601-4508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427197631 | William Louis Bacon | Orthopaedic Surgery | 206 E Adair St, Valdosta, GA 31601-4508 | 2007-02-05 |
| 1851854202 | Raymond Dean | Counselor | 206 E Adair St, Valdosta, GA 31601-4508 | 2019-04-12 |
| 1982167458 | Iyana Rene' Bass Mccain | Counselor | 206 E Adair St, Valdosta, GA 31601-4508 | 2019-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437700838 | Tristan Carlos Garcia | Specialist/Technologist | 605 West Mary Street, Valdosta, GA 31601 | 2019-09-26 |
| 1508332438 | Euniqua Lashay Williams | Contractor | 812 Lausanne Drive, Valdosta, GA 31601 | 2018-10-18 |
| 1457847634 | Valencia Meshay Johnson | Contractor | 1211 North Oak Street, Valdosta, GA 31601 | 2018-07-10 |
| 1376038042 | Restoration Care Services, LLC | Home Health | 704 Lake Park Road, Valdosta, GA 31601 | 2018-06-26 |
| 1609373133 | Ikea Sharnay Calhoun | Contractor | 1710 Dedo Drive, Valdosta, GA 31601 | 2018-04-11 |
| 1174049431 | Alexious Denson | Contractor | 900 Blanton St., Apt A16, Valdosta, GA 31601 | 2017-08-18 |
| 1578012258 | Clarissa Yolanda Alderman | Counselor | 4107 N Forrest Run Circle, Valdosta, GA 31601 | 2016-09-23 |
| 1225322613 | Andrea J. Ramirez | Counselor | 1301 Melody Ln Ste B, Valdosta, GA 31601 | 2011-06-03 |
| 1316248560 | L&r Personal Care Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 14 Sharper Circle, Valdosta, GU 31601 | 2010-11-04 |
| 1902121809 | Grace Healthcare Services Inc | Respite Care | 1010 Slater Street, Valdosta, GA 31601 | 2010-04-02 |
| Find all providers in zip 31601 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477975597 | Nelson Clements Dmd Inc | Point of Service | 2310 N Patterson St Bldg E, Valdosta, GA 31602-2500 | 2014-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1558990911 | Telemedicine Essentials of America, LLC | Point of Service | 2001 Montreal Rd Ste 105, Tucker, GA 30084-5219 | 2020-04-06 |
| 1033745088 | Assure Elder Care Incorporated | Point of Service | 1047 Alford Rd, Lithonia, GA 30058-3007 | 2020-03-20 |
| 1437712122 | Wish You Well Youth Faith Foundation Inc | Point of Service | 9456 S Main St Ste D4, Jonesboro, GA 30236-6074 | 2019-04-17 |
| 1114412632 | Healthy Living Now Inc | Point of Service | 8174 Spring Ct, Riverdale, GA 30274-4317 | 2018-06-27 |
| 1629519202 | Nurse Practioner | Point of Service | 4044 George Busbee Pkwy Nw Apt 4207, Kennesaw, GA 30144-6890 | 2017-03-15 |
| 1033657143 | Glam She LLC | Point of Service | 4070 San Marco Way, Douglasville, GA 30135-2769 | 2017-02-09 |
| 1992248298 | New Legacy Counseling and Training Center | Point of Service | 3350 Riverwood Parkway, Suite 1925, Atlanta, GA 30339 | 2016-11-18 |
| 1245682079 | Butterfly Gardens Hopice & Palliative Care, LLC | Point of Service | 3112 Blackmon Ct, Hephzibah, GA 30815-7064 | 2016-07-05 |
| 1194179861 | A Humbling Spirit Family Practice, Inc. | Point of Service | 2412 Horseshoe Bend Rd Sw, Marietta, GA 30064-4412 | 2016-04-19 |
| 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.