SOUTH GEORGIA MEDICAL CENTER (NPI# 1386626570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386626570 |
| Entity Type | Organization |
| Organization Name | SOUTH GEORGIA MEDICAL CENTER |
| Practice Address |
2501 North Patterson Street Valdosta GA 31603-1727 |
| Practice Telephone | 2292594869 |
| Practice Fax Number | 2292594872 |
| Mailing Telephone | 2292594869 |
| Mailing Fax Number | 2292594872 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. WILLIAM M. BRANNEN (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 2292594869 |
| Authorized Official Credential | R.PH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | PHH004025 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | PHARMACY LICENSE # | PHH004025 | 01 |
| GA | DEA # | AP1167154 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891045191 | South Georgia Medical Center | General Acute Care Hospital | 2501 North Patterson St, Valdosta, GA 31636 | 2012-09-13 |
| 1649641721 | South Georgia Medical Center | General Acute Care Hospital | 209 Pendleton Dr, Valdosta, GA 31602-1729 | 2015-10-14 |
| 1831171867 | South Georgia Medical Center | Pharmacy | 2501 North Patterson Street, Valdosta, GA 31603-1727 | 2005-11-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SOUTH GEORGIA MEDICAL CENTER | 2501 N Patterson St, Valdosta, GA 31602-1735 |
| Street Address |
2501 NORTH PATTERSON STREET |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31603-1727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740448224 | Oscar D Espetia | Emergency Medicine | 2501 North Patterson Street, Valdosta, GA 31602 | 2008-05-30 |
| 1538294889 | Dushyant Oza | Pediatrics | 2501 North Patterson Street, Valdosta, GA 31602 | 2007-02-23 |
| 1831171867 | South Georgia Medical Center | Pharmacy | 2501 North Patterson Street, Valdosta, GA 31603-1727 | 2005-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457508673 | Baggett & Baggett Dpm, PC | Podiatrist | 1801 N Lee St., Valdosta, GA 31603-5342 | 2008-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528668175 | Vishwa Patel | Pharmacist | 3604 Bellhaven Dr, Valdosta, GA 31605-1210 | 2020-10-31 |
| 1124628144 | Nurturing Love Inc | Respite Care | 704 Holly Dr, Valdosta, GA 31602-3306 | 2020-10-28 |
| 1326647629 | Sheba Phillips | Social Worker | 2402 Orlando Dr, Valdosta, GA 31602-1921 | 2020-10-19 |
| 1285232777 | Khrystal Wright | Contractor | 4016 Foxborough Blvd, Valdosta, GA 31602-6726 | 2020-10-15 |
| 1134727316 | Veteran Housing of America | Lodging | 609 Jones St, Valdosta, GA 31601-4865 | 2020-10-11 |
| 1871190686 | Allegiant Solutions LLC | Clinical Medical Laboratory | 3312 N Oak Street Ext Ste G, Valdosta, GA 31605-1065 | 2020-10-05 |
| 1649887431 | Kristi Brynt Godwin | Marriage & Family Therapist | 4457 Kenilworth Cir, Valdosta, GA 31605-8018 | 2020-09-25 |
| 1841806841 | Ashley De Plato | Contractor | 3813 Robin Ln, Valdosta, GA 31605-5124 | 2020-09-16 |
| 1962017368 | Katrina Terrell Horne | Nurse Practitioner | 15 Pinetree Cir, Valdosta, GA 31601-6256 | 2020-09-11 |
| 1861006223 | Monshita Mcdonald | Nurse Practitioner | 1523 San Bernardino Way, Valdosta, GA 31601-2511 | 2020-09-03 |
| Find all providers in VALDOSTA | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851662720 | Care One Pharmacy, LLC | Pharmacy | 2003 N Ashley St, Valdosta, GA 31602-3028 | 2012-01-24 |
| 1003891383 | Cg Medical, Inc | Pharmacy | 385 Connell Rd, Valdosta, GA 31602-1471 | 2005-12-09 |
| 1760884233 | Winnersville Pharmacy, LLC | Pharmacy | 3782 Old Us Highway 41 N, Suite C, Valdosta, GA 31602-6834 | 2014-09-16 |
| 1295098762 | Barnes Drug Stores Inc | Pharmacy | 200 S Patterson St, Valdosta, GA 31601-5621 | 2012-06-20 |
| 1053472910 | Barnes Health Care Services | Pharmacy | 200 S Patterson St, Valdosta, GA 31601-5621 | 2006-12-13 |
| 1831171867 | South Georgia Medical Center | Pharmacy | 2501 North Patterson Street, Valdosta, GA 31603-1727 | 2005-11-16 |
| 1528049046 | Hospital Authority of Valdosta and Lowndes County Georgia | Pharmacy | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607662 | H & W Pharmacy | Pharmacy | 4091 Redan Rd Ste C, Stone Mountain, GA 30083-4767 | 2020-10-23 |
| 1720603756 | Medical-pharmacy Associates of Georgia, LLC | Pharmacy | 1425 Georgia Ave Ste 1, Macon, GA 31201-6546 | 2020-06-16 |
| 1700419454 | Janus Rx | Pharmacy | 836 E 65th St Ste 42, Savannah, GA 31405-4496 | 2020-02-20 |
| 1295373702 | Downtown Pharmacy LLC | Pharmacy | 236 Forsyth St Sw Ste 202b, Atlanta, GA 30303-3786 | 2019-12-16 |
| 1750928719 | Goodscript, Inc. | Pharmacy | 3115 Roswell Rd Ste 205, Marietta, GA 30062-7611 | 2019-12-09 |
| 1942844741 | Genoa Healthcare, LLC | Pharmacy | 400 Technology Ct Se Ste J, Room P, Smyrna, GA 30082-5237 | 2019-11-05 |
| 1225670995 | Allcare Pharmacy, LLC | Pharmacy | 1004 S Tennille Ave, Donalsonville, GA 39845 | 2019-10-14 |
| 1417598327 | Connect Care Pharmacy, LLC | Pharmacy | 2191 Hwy 247 Connector, Byron, GA 31008-5531 | 2019-10-02 |
| 1467003467 | Selamawit Dejene | Pharmacy | 464 Bishop St Nw Apt 336, Atlanta, GA 30318-5384 | 2019-09-23 |
| 1902454721 | Batts Drug Company Mansfield, LLC | Pharmacy | 4424 Highway 213, Mansfield, GA 30055-3211 | 2019-08-27 |
| 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.