VALDOSTA UROLOGICAL ASSOCIATES (NPI# 1144404484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144404484 |
| Entity Type | Organization |
| Organization Name | VALDOSTA UROLOGICAL ASSOCIATES |
| Practice Address |
3543 North Crossing Circle Valdosta GA 31602 |
| Practice Telephone | 2292441736 |
| Practice Fax Number | 2292425666 |
| Mailing Telephone | 2292441736 |
| Mailing Fax Number | 2292425666 |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2007-12-21 |
| Authorized Official Name | DR. JOSEPH DAVID SULE (CEO) |
| Authorized Official Telephone | 2292441736 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 042458 | GA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00718891A | 05 |
| Street Address |
3543 NORTH CROSSING CIRCLE |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356767404 | Delilah Byron | Specialist | 4353 Sandy Springs Dr, Valdosta, GA 31605-5492 | 2014-03-13 |
| 1861676892 | Southern Urological Associates | Specialist | 2805 N Oak St, Suite B, Valdosta, GA 31602-5922 | 2007-12-27 |
| 1265612337 | Barbara J. Williams | Specialist | 2704 N Oak St A2, Valdosta, GA 31602 | 2007-11-06 |
| 1659587301 | Fauzia K. Durrani M.d., PC | Specialist | 107 Woodrow Wilson Dr, Valdosta, GA 31602-2539 | 2007-05-16 |
| 1952431223 | Azalea Center for Plastic Surgery PC | Specialist | 2810 N Oak St, Valdosta, GA 31602-1716 | 2007-03-06 |
| 1326174327 | Steven T. Greenhaw Md PC | Specialist | 2704 N Oak St Bldg G, Valdosta, GA 31602-1767 | 2007-02-26 |
| 1194898288 | Laura D Gwillim | Specialist | 2704 C N Oak St, Valdosta, GA 31602-1781 | 2006-11-16 |
| 1588740609 | Joel P. Hunnicutt | Specialist | 2804 C. N. Oak Street, Valdosta, GA 31602 | 2006-10-31 |
| 1134148208 | Valdosta Anesthesia Associates, P.C. | Specialist | 2310 N Patterson St Bldg C, Valdosta, GA 31602-2500 | 2006-07-19 |
| 1841231347 | Livingstone Ajit Rasalam | Specialist | 303 Woodrow Wilson Dr, Valdosta, GA 31602-2537 | 2006-06-08 |
| 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.