MR. JOHN WILLIAM LEDWITCH III (NPI# 1528116019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528116019 |
| Entity Type | Individual |
| Full Name | MR. JOHN WILLIAM LEDWITCH III |
| Credential | CPNP |
| Practice Address |
3301 N Oak Street Ext Valdosta GA 31605-1014 |
| Mailing Address |
3301 N Oak Street Ext Valdosta GA 31605 |
| Practice Telephone | 2292426061 |
| Practice Fax Number | 2292426151 |
| Mailing Telephone | 2292426061 |
| Mailing Fax Number | 2292426151 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2018-12-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN196360 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 932057257B | 05 | |
| GA | 932057257E | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3301 N Oak Street Ext, Valdosta, GA 316051014 | 2292426061 | 2292426151 |
| Street Address |
3301 N OAK STREET EXT |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31605-1014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366470650 | Brian C Griner | Internal Medicine | 3301 N Oak Street Ext, Valdosta, GA 31605-1014 | 2006-06-28 |
| 1629538822 | Trevor Lawton Davis | Physician Assistant | 3301 N Oak Street Ext, Valdosta, GA 31605 | 2019-03-22 |
| 1619436318 | Ashley Jordan Massey | Nurse Practitioner | 3301 N Oak Street Ext, Valdosta, GA 31605 | 2019-03-13 |
| 1316460736 | Joseph Daniel Souders | Physician Assistant | 3301 N Oak Street Ext, Valdosta, GA 31605-1014 | 2017-07-18 |
| 1952763302 | Seth A Courson | Internal Medicine | 3301 N Oak Street Ext, Valdosta, GA 31605 | 2016-03-24 |
| 1255729513 | Olivia Hope Wright | Nurse Practitioner | 3301 N Oak Street Ext, Valdosta, GA 31605-1014 | 2015-01-08 |
| 1316370851 | Matthew Nijem Varn | Internal Medicine | 3301 N Oak Street Ext, Valdosta, GA 31605-1014 | 2013-08-20 |
| 1083832901 | Brian C. Griner, Md, LLC | Internal Medicine | 3301 N Oak Street Ext, Valdosta, GA 31605-1014 | 2007-04-23 |
| 1568490928 | Katie Miner | Nurse Practitioner | 3301 N Oak Street Ext, Valdosta, GA 31605-1014 | 2006-06-28 |
| 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 | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285101964 | Anne Marie Diaz | Nurse Practitioner | 410 Connell Road Suite T, Valdosta, GA 31602-3160 | 2018-10-31 |
| 1437648235 | Whitney Renee Apperson | Nurse Practitioner | 2418 N Oak St Ste G, Valdosta, GA 31602-2575 | 2018-05-07 |
| 1366991374 | Melissa Kelly Milicevic | Nurse Practitioner | 304 Janet St Ste B, Valdosta, GA 31602-2643 | 2016-10-03 |
| 1184805400 | Pamela W Powell | Nurse Practitioner | 4711 Woodland Pt, Valdosta, GA 31602-0823 | 2007-11-15 |
| 1346326048 | Gina S Dungan | Nurse Practitioner | 220 Northside Drive, Valdosta, GA 31602 | 2006-10-27 |
| 1356318265 | Thomas Alexandeer Mackean | Nurse Practitioner | 704 Gil Harbin Industrial Blvd, Valdosta, GA 31601-6513 | 2006-03-01 |
| 1487260949 | Joshua Caleb Vining | Nurse Practitioner | 3200 N Ashley St Ste C, Valdosta, GA 31602-5911 | 2020-09-21 |
| 1164081311 | Mary Deason Perritt | Nurse Practitioner | 2700 N Oak St Bldg B, Valdosta, GA 31602-5903 | 2019-06-11 |
| 1689130312 | Kala Jo Bugg | Nurse Practitioner | 2501 N Patterson St, Valdosta, GA 31602-1785 | 2019-02-19 |
| 1104382092 | Meredith Emily Decesare | Nurse Practitioner | 2263 Pineview Dr, Valdosta, GA 31602-7316 | 2019-02-15 |
| 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.