DR. JOSE MEDINA (NPI# 1417944513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417944513 |
| Entity Type | Individual |
| Full Name | DR. JOSE MEDINA |
| Credential | MD |
| Practice Address |
3334 Greystone Way Valdosta GA 31605 |
| Mailing Address |
Po Box 3550 Valdosta GA 31604-3550 |
| Practice Telephone | 2292471667 |
| Practice Fax Number | 2292457661 |
| Mailing Telephone | 2292471667 |
| Mailing Fax Number | 2292457661 |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2012-04-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 041166 | GA | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
041166 | GA | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
041166 | GA | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
041166 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000686507C | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528537107 | Jose German Medina | Specialist/Technologist, Other | 10881 Nw 75th St, Medley, FL 33178-2206 | 2018-11-13 |
| 1396022562 | Jose Luis Medina | Community/Behavioral Health | 106 W 53rd St Apt 26, Bayonne, NJ 07002-3356 | 2011-11-15 |
| 1811029143 | Jose F Medina | General Practice | 18 Calle Bou, Barrio Pueblo, Corozal, PR 00783-2011 | 2007-03-12 |
| 1821551748 | Jose Sebastian Medina | Student in an Organized Health Care Education/Training Program | 833 Chestnut St Ste 301, Philadelphia, PA 19107-4405 | 2019-04-08 |
| 1922519487 | Jose Javier Medina | Marriage & Family Therapist | 3301 E 12th St, Oakland, CA 94601-3424 | 2017-10-23 |
| 1841643954 | Jose Ernesto Medina | Counselor | 3117 Wilson Rd, Bakersfield, CA 93304-5319 | 2016-07-14 |
| 1265801286 | Jose L. Medina | Counselor | 1285 Fulton Ave, Bronx, NY 10456-3401 | 2015-09-21 |
| 1922404805 | Jose Medina | Counselor | 587 Middle Tpke E, Manchester, CT 06040-3731 | 2014-11-05 |
| 1720302466 | Jose Medina | Physician Assistant | 81 Willoughby St, 4th Floor, Brooklyn, NY 11201-5291 | 2010-03-24 |
| 1841431087 | Jose Miguel Medina | Nurse Practitioner | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 2009-03-18 |
| Street Address |
3334 GREYSTONE WAY |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407047269 | Jose Medina Md PC | Clinic/Center | 3334 Greystone Way, Valdosta, GA 31605-1096 | 2007-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484718 | Mckenna Kristine Bachmann | Specialist/Technologist | Moody Air Force Base, Valdosta, GA 31605 | 2020-07-14 |
| 1376056366 | Michael Brent Robinson Sr. | Contractor | 3863 Camellia Dr., Valdosta, GA 31605 | 2017-11-13 |
| 1679013452 | Baptist Specialty Physicians Inc | Pediatrics | 3301 N Oak St Ext, Valdosta, GA 31605 | 2017-02-28 |
| 1649683541 | Dustin Ross Kilby | Dentist | 2704 Oak Center Dr, Valdosta, GA 31605 | 2014-06-09 |
| 1659643286 | Brittnaey Nicole Freeman | Behavioral Analyst | 3982 Karaline Cir, Valdosta, GA 31605 | 2012-01-27 |
| 1780970335 | Laura Christen Cribbs | Counselor | 3312-d N Oak Street Ext, Valdosta, GA 31605 | 2011-06-22 |
| 1992090633 | Mary Katelyn Harper | Pharmacist | 3200 North Oak Street, Valdosta, GA 31605 | 2011-06-10 |
| 1053532937 | Robert Mark Pearson | Dentist | 3227 N. Oak St. Ext., Valdosta, GA 31605 | 2007-05-01 |
| 1083838650 | Am Sleep Diagnostics and Research Center | Clinic/Center | 3334 Greyatone Way, Valdosta, GA 31605 | 2007-04-12 |
| 1831236181 | William Ashley Moorman | Dentist | Advanced Dental Care, 3211 Wildwood Plantation Drive, Valdosta, GA 31605 | 2007-01-30 |
| Find all providers in zip 31605 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255369435 | Milledge C Newton Jr. | Internal Medicine | 410 Connell Rd, Valdosta, GA 31602-1407 | 2006-06-28 |
| 1497782817 | Gregory S Beale | Internal Medicine | 410 Connell Rd, Valdosta, GA 31602-1407 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194337592 | Stefan Vincent Goldberg | Internal Medicine | 3239 Bolero Dr, Atlanta, GA 30341-5705 | 2020-08-18 |
| 1366064164 | Southeast Lung & Critical Care Specialists | Internal Medicine | 1745 City Circle Rd, Baxley, GA 31513-7059 | 2020-05-14 |
| 1205474954 | Tift Regional Health System, Inc | Internal Medicine | 1499 Kennedy Road, Suite A, Tifton, GA 31794-4177 | 2019-12-12 |
| 1659845790 | Frank J Demarco Jr Md LLC | Internal Medicine | 4465 Nelson Brogdon Blvd, Buford, GA 30518-3487 | 2019-01-11 |
| 1063915338 | Trident Pulmonary and Critical Care PC | Internal Medicine | 483 Upper Riverdale Rd Sw Ste E, Riverdale, GA 30274-2579 | 2018-03-13 |
| 1194235853 | Covenant Medical Group LLC | Internal Medicine | 3605 Sandy Plains Rd Ste 240-235, Marietta, GA 30066-3068 | 2017-10-09 |
| 1235659814 | Southeast Lung & Criticial Care Specialists, PC | Internal Medicine | 5356 Reynolds St Ste 303, Savannah, GA 31405-6018 | 2017-06-23 |
| 1619355427 | Southeast Lung & Critical Care Specialists, PC. | Internal Medicine | 400 Cedar St Ste 106, Candler County Hospital, Metter, GA 30439-3338 | 2015-05-13 |
| 1770989154 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 800 East 68th Street, Landmark Hospital, Savannah, GA 31405 | 2014-11-12 |
| 1407267511 | Akshay Bhatnagar | Internal Medicine | 2301 Newnan Crossing Blvd E Ste 200, Newnan, GA 30265-2576 | 2014-05-12 |
| 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.