ALAN STOUT (NPI# 1205878386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205878386 |
| Entity Type | Individual |
| Full Name | ALAN STOUT |
| Credential | MD |
| Practice Address |
612 N Patterson St Valdosta GA 31601-4610 |
| Practice Telephone | 7069809975 |
| Mailing Telephone | 7069809975 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2019-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 026664 | GA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 026664 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000320526F | 05 | |
| TN | BCBS OF TENNESSEE | 4130194 | 01 |
| GA | 000320526G | 05 | |
| GA | 000320526H | 05 | |
| GA | RAILROAD MEDICARE | P00282948 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 612 N Patterson St, Valdosta, GA 316014610 | 7069809975 | |
| 707 Old Ellijay Road, Chatsworth, GA 307052029 | 7065172093 |
| Street Address |
612 N PATTERSON ST |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31601-4610 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760793178 | Frantz E Felix | Family Medicine | 3879 Island Creek Rd, Valdosta, GA 31601-0189 | 2010-06-30 |
| 1598084386 | Laura Guadiana | Family Medicine | 3374 Greystone Way, Valdosta, GA 31605-1096 | 2010-05-19 |
| 1912138116 | Parrott Medical Clinic PC | Family Medicine | 804 Northwood Park Dr, Valdosta, GA 31602-1392 | 2009-08-05 |
| 1184854226 | Quality Group Service Inc | Family Medicine | 3338 Country Club Rd Ste L, Ste. 200, Valdosta, GA 31605-7425 | 2009-07-23 |
| 1720224298 | Southern Skin & Wellness Center | Family Medicine | 3321 N Valdosta Rd Ste B, Valdosta, GA 31602-1685 | 2009-01-05 |
| 1356559801 | Raymond Avery Moody IIi | Family Medicine | 3567 Val-tech Rd., Valdosta State Prison, Valdosta, GA 31602 | 2007-05-18 |
| 1033234315 | Jeri Lynn Sheffield | Family Medicine | 3548b Northcrossing Cir, Valdosta, GA 31602-1067 | 2007-03-19 |
| 1154401107 | Vera C Garcia | Family Medicine | 4370 Kings Way Ste E, Valdosta, GA 31602 | 2006-10-16 |
| 1629177324 | Jennetta M Christie | Family Medicine | 2317 Bemiss Rd, Valdosta, GA 31602-1934 | 2006-09-21 |
| 1831107234 | Marian Antoinette Patterson | Family Medicine | 3790 Old Us Highway 41 N Ste A, Bldg N, Valdosta, GA 31602-6865 | 2006-08-03 |
| Find all providers in VALDOSTA | ||||
Please comment or provide details below to improve the information on ALAN STOUT.
| 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.