SOUTH HEALTH DISTRICT (NPI# 1366685307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366685307 |
| Entity Type | Organization |
| Organization Name | SOUTH HEALTH DISTRICT |
| Practice Address |
312 N Patterson St Valdosta GA 31601-5526 |
| Mailing Address |
251 Appomattox Rd Fitzgerald GA 31750-3757 |
| Practice Telephone | 2293337585 |
| Practice Fax Number | 2293337591 |
| Mailing Telephone | 2293337585 |
| Mailing Fax Number | 2293337591 |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2009-12-14 |
| Authorized Official Name | DR. LYNNE FELDMAN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2293335290 |
| Authorized Official Credential | MD, MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000052038B | 05 | |
| GA | MEDICARE PART B | FLU211 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487710927 | South Health District | Public Health or Welfare | 2700 N Oak St Bldg C, Valdosta, GA 31602-5904 | 2006-12-29 |
| 1215092283 | South Health District | Public Health or Welfare | 2700 N Oak St Bldg B, Valdosta, GA 31602-5903 | 2006-12-27 |
| 1922163815 | South Health District | Public Health or Welfare | 751 Country Lane, Lake Park, GA 31636 | 2006-12-22 |
| 1356405351 | South Health District | Public Health or Welfare | 305 12th St E, Tifton, GA 31794-4011 | 2006-12-21 |
| 1295899201 | South Health District | Public Health or Welfare | 745 Hudson Ave, Ashburn, GA 31714-5312 | 2006-12-21 |
| 1154485027 | South Health District | Public Health or Welfare | 117 S Patterson St, Valdosta, GA 31601-5608 | 2006-12-21 |
| 1881756013 | South Health District | Public Health or Welfare | 407 W 4th St, Ocilla, GA 31774-1463 | 2006-12-14 |
| 1811059942 | South Health District | Public Health or Welfare | 149 Hwy 94 East, Statenville, GA 31648 | 2006-12-14 |
| 1952463192 | South Health District | Public Health or Welfare | 205 W Murrell Ave, Lakeland, GA 31635-2103 | 2006-12-14 |
| 1578630695 | South Health District | Public Health or Welfare | 204 N Parrish Ave, Adel, GA 31620-2327 | 2006-11-30 |
| Street Address |
312 N PATTERSON ST |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31601-5526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508945114 | Sandra L Feldman | Pediatrics | 312 N Patterson St, Valdosta, GA 31601-5526 | 2006-11-03 |
| 1023174562 | South Health District | Public Health or Welfare | 312 N Patterson St, Valdosta, GA 31601-5526 | 2006-12-29 |
| 1760548200 | South Health District | Public Health or Welfare | 312 N Patterson St, Valdosta, GA 31601-5526 | 2006-12-29 |
| 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 | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255719621 | Georgia Regents University | Public Health or Welfare | 3259 Val Tech Rd, Valdosta, GA 31602-9309 | 2015-05-18 |
| 1487710927 | South Health District | Public Health or Welfare | 2700 N Oak St Bldg C, Valdosta, GA 31602-5904 | 2006-12-29 |
| 1215092283 | South Health District | Public Health or Welfare | 2700 N Oak St Bldg B, Valdosta, GA 31602-5903 | 2006-12-27 |
| 1154485027 | South Health District | Public Health or Welfare | 117 S Patterson St, Valdosta, GA 31601-5608 | 2006-12-21 |
| 1144320177 | South Health District 8-1 (infectious Disease Program) | Public Health or Welfare | 601 N Lee St, Valdosta, GA 31601-4725 | 2006-09-22 |
| 1164801460 | Georgia Correctional Health Care | Public Health or Welfare | 3259 Val Tech Rd, Valdosta, GA 31602-9309 | 2015-05-20 |
| 1598821035 | South Health District | Public Health or Welfare | 2700 N Oak St Bldg B, Valdosta, GA 31602-5903 | 2006-12-29 |
| 1023174562 | South Health District | Public Health or Welfare | 312 N Patterson St, Valdosta, GA 31601-5526 | 2006-12-29 |
| 1760548200 | South Health District | Public Health or Welfare | 312 N Patterson St, Valdosta, GA 31601-5526 | 2006-12-29 |
| 1780749028 | South Health District | Public Health or Welfare | 601 N Lee St, Valdosta, GA 31601-4725 | 2006-12-27 |
| 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.