WILLIAM JACKSON BRIDGES JR. (NPI# 1497985428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497985428 |
| Entity Type | Individual |
| Full Name | WILLIAM JACKSON BRIDGES JR. |
| Credential | LMT,CNMT |
| Practice Address |
2420 Bemiss Rd Ste B Valdosta GA 31602-4809 |
| Mailing Address |
Po Box 3864 Valdosta GA 31604-3864 |
| Practice Telephone | 2292939511 |
| Practice Fax Number | 2292939141 |
| Mailing Telephone | 2292939511 |
| Mailing Fax Number | 2292939141 |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2009-07-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT000268 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548711062 | William Edward Bridges | Technician, Other | 14153 Arnold, Redford, MI 48239-2818 | 2016-10-19 |
| 1518988906 | William Z Bridges Sr. | Ophthalmology | 2282 E Pinetree Blvd, Thomasville, GA 31792-4807 | 2006-07-21 |
| 1033164181 | William Robert Bridges | Surgery | 438 E Vann Rd, Suite 200, Greeneville, TN 37743-7202 | 2006-05-24 |
| 1750344065 | William C Bridges | Physical Medicine & Rehabilitation | 425 Alabama Ave, Fort Worth, TX 76104-1022 | 2006-04-08 |
| 1063482792 | William Scott Bridges | Psychiatry & Neurology | 1 Saint Joseph Dr, Lexington, KY 40504-3742 | 2006-01-25 |
| 1245214410 | William Zachery Bridges Jr. | Ophthalmology | 21 Medical Park Dr, Asheville, NC 28803-2493 | 2005-12-01 |
| Street Address |
2420 BEMISS RD STE B |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602-4809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386874303 | Jessica Mink Haines | Massage Therapist | 2420 Bemiss Rd Ste B, Valdosta, GA 31602-4809 | 2009-07-24 |
| 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 | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649897786 | Mdj Massage LLC | Massage Therapist | 4017 Grey Oak Dr, Valdosta, GA 31605-5865 | 2020-07-05 |
| 1225463482 | Holly Deen Derossett | Massage Therapist | 2420 Bemiss Rd., Suite B, Valdosta, GA 31602 | 2013-09-06 |
| 1386874303 | Jessica Mink Haines | Massage Therapist | 2420 Bemiss Rd Ste B, Valdosta, GA 31602-4809 | 2009-07-24 |
| 1326661968 | John Richard Williams Jr. | Massage Therapist | 2804 N Oak St Ste C, Valdosta, GA 31602-5913 | 2020-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346169 | Debra Davis | Massage Therapist | 702 Baldwin Dr Ste A, Albany, GA 31707-4027 | 2020-11-06 |
| 1780285197 | Tyrone Roy | Massage Therapist | 869 King Rd, Stone Mountain, GA 30088-2203 | 2020-11-03 |
| 1295336758 | Nadia Elizabeth Jones | Massage Therapist | 300 S Hamilton St, Dalton, GA 30720-8215 | 2020-11-02 |
| 1164022968 | Gregory R Bell Jr. | Massage Therapist | 106 W Henry St # B, Savannah, GA 31401-6721 | 2020-10-30 |
| 1770183527 | Alexander Jones | Massage Therapist | 626 Dekalb Ave Se Apt 1445, Atlanta, GA 30312-5409 | 2020-10-30 |
| 1134728124 | Quaniessa Rochelle Jenkins | Massage Therapist | 449 Oak Dr # 2, Atlanta, GA 30354-1228 | 2020-10-20 |
| 1598364630 | Amy Yang | Massage Therapist | 4505 Bradstone Trce Nw, Lilburn, GA 30047-8019 | 2020-10-20 |
| 1073112405 | Tavia Rena Bell | Massage Therapist | 2512 Grayton Loop, Villa Rica, GA 30180-6702 | 2020-10-17 |
| 1063010437 | Miranda Browne | Massage Therapist | 335 Roberts Rd, Athens, GA 30606-1227 | 2020-10-16 |
| 1710585567 | Lailyn Pineda Burkett | Massage Therapist | 3550 Ga Highway 20 South, Conyers, GA 30013-2877 | 2020-10-14 |
| 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.