JS MEDICAL DIAGNOSTICS, LLC (NPI# 1538465786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538465786 |
| Entity Type | Organization |
| Organization Name | JS MEDICAL DIAGNOSTICS, LLC |
| Practice Address |
3790 Old Us Hwy 41 N Suite B Valdosta GA 31602 |
| Mailing Address |
4215 Oak Forest Dr Valdosta GA 31602-5007 |
| Practice Telephone | 2292418811 |
| Mailing Telephone | 2292922147 |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2011-02-07 |
| Authorized Official Name | DR. JONATHAN SULE (PRESIDENT) |
| Authorized Official Telephone | 2292922147 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
3790 OLD US HWY 41 N SUITE B |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602 |
| 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 | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225412596 | Hospital Authority of Valdosta and Lowndes County, Georgia | Clinic/Center | 4280 N Valdosta Rd, Valdosta, GA 31602-6814 | 2015-07-16 |
| 1407047269 | Jose Medina Md PC | Clinic/Center | 3334 Greystone Way, Valdosta, GA 31605-1096 | 2007-08-07 |
| 1538200035 | Valdosta Medical Clinic | Clinic/Center | 3207 Country Club Dr, Valdosta, GA 31605-1029 | 2007-02-09 |
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|---|---|---|---|---|
| 1538768296 | Ga Diagnostic Providers | Clinic/Center | 5400 Riverside Dr Ste 202, Macon, GA 31210-0818 | 2020-10-22 |
| 1427656156 | Aes International, LLC | Clinic/Center | 6380 Bells Ferry Rd Ste 101, Acworth, GA 30102-5435 | 2020-10-14 |
| 1861000598 | Apple Educational Consulting, Inc. | Clinic/Center | 6225 Atlanta Hwy Ste 110, Alpharetta, GA 30004-8799 | 2020-07-20 |
| 1285242024 | Vernu 2 Inc | Clinic/Center | 501 S Main St Ste 201, Alpharetta, GA 30009-1975 | 2020-07-17 |
| 1598373755 | Pediatric Developmental Services | Clinic/Center | 2250 N Druid Hills Rd Ne Ste 265, Atlanta, GA 30329-3141 | 2020-07-14 |
| 1992322549 | Doctorsbeyond Inc. | Clinic/Center | 277 Skyview Court, Newnan, GA 30265 | 2020-06-30 |
| 1366068728 | Wood Health LLC | Clinic/Center | 310 Gold Creek Trl Ste 100, Woodstock, GA 30188-5436 | 2020-06-22 |
| 1790307924 | Cryogen Plus LLC | Clinic/Center | 1039 Grant St Se Bldg A, Atlanta, GA 30315-2014 | 2020-05-11 |
| 1174154496 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 2305 Abutment Rd, Dalton, GA 30721-4881 | 2020-01-27 |
| 1447881768 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 2225 S Hamilton St, Dalton, GA 30721-4975 | 2020-01-27 |
| 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.