SOUTHLAND BEHAVIORAL HEALTH SERVICES LLC (NPI# 1619505765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619505765 |
| Entity Type | Organization |
| Organization Name | SOUTHLAND BEHAVIORAL HEALTH SERVICES LLC |
| Practice Address |
2209 Pineview Dr Valdosta GA 31602-7316 |
| Mailing Address |
Po Box 1276 Thomasville GA 31799-1276 |
| Practice Telephone | 2292360831 |
| Practice Fax Number | 2292360871 |
| Mailing Telephone | 2292360831 |
| Mailing Fax Number | 2292360871 |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2020-04-01 |
| Authorized Official Name | STEPHANIE FLETCHER (CFO) |
| Authorized Official Telephone | 2292360831 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2927 Demere Rd, Saint Simons Is, GA 315221620 | 2292360831 | 2292360871 |
| 633 Stephenson Ave, Savannah, GA 314055970 | 2292360831 | 2292360871 |
| Street Address |
2209 PINEVIEW DR |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602-7316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033160791 | Hospital Authority of Valdosta and Lowndes County Georgia | Clinic/Center | 2209 Pineview Dr, Valdosta, GA 31602-7316 | 2006-05-15 |
| 1518590280 | Shalyn Janel Mcmichael | Recreation Therapist | 2209 Pineview Dr, Valdosta, GA 31602-7316 | 2020-02-20 |
| 1609230069 | Kenneth Lindsey Kiser | Nurse Practitioner | 2209 Pineview Dr, Valdosta, GA 31602-7316 | 2016-04-11 |
| 1083071898 | Julene Dorothy Smith | Nurse Practitioner | 2209 Pineview Dr, Valdosta, GA 31602-7316 | 2016-01-25 |
| 1538417753 | Greenleaf Center, LLC | Psychiatric Hospital | 2209 Pineview Dr, Valdosta, GA 31602 | 2012-08-20 |
| 1649542143 | Stephanie Lynn Nelson | Nurse Practitioner | 2209 Pineview Dr, Valdosta, GA 31602-7316 | 2012-01-31 |
| 1073762712 | Beacon Behavioral Healthcare, Inc. | Psychiatry & Neurology | 2209 Pineview Dr, Valdosta, GA 31602-7316 | 2008-09-18 |
| 1851547327 | Robert Juliusz Maydell | Psychiatry & Neurology | 2209 Pineview Dr, Valdosta, GA 31602-7316 | 2008-08-14 |
| 1841372984 | Carole W Nelson | Counselor | 2209 Pineview Dr, Valdosta, GA 31602-7316 | 2006-10-19 |
| 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 | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669955134 | Jon R Teegardin | Hospitalist | 4274 N Valdosta Rd, Valdosta, GA 31602-6814 | 2018-09-11 |
| 1629346390 | Hospital Authority of Valdosta and Lowndes County Georgia | Hospitalist | 4280 N Valdosta Rd, Valdosta, GA 31602-6814 | 2011-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033770771 | Your Hospitalist Team LLC | Hospitalist | 2215 Autumn Ridge Ln, Cumming, GA 30041-1358 | 2019-06-24 |
| 1780194183 | Mobin Shah Inc | Hospitalist | 352 Langshire Dr, Mcdonough, GA 30253-8055 | 2017-10-11 |
| 1972036721 | Getnet Alemu Tioum | Hospitalist | 1267 Pounds Ln, Clarkston, GA 30021-2830 | 2017-04-08 |
| 1720531692 | Zahraa Rabeeah | Hospitalist | 390 17th St Nw Unit 5031, Atlanta, GA 30363-2015 | 2016-07-27 |
| 1245614973 | Donovan Philbrick | Hospitalist | 743 Spring Street, Office of Inpatient Medicine, Gainesville, GA 30501 | 2015-07-13 |
| 1932529732 | Munir Chaudhuri | Hospitalist | 1364 Clifton Road Ne Box M7, Atlanta, GA 30322-1029 | 2014-04-18 |
| 1982979373 | Rianot Amzat | Hospitalist | 5665 Peachtree Dunwoody # Ga, Suite 500, Atlanta, GA 30342-1701 | 2012-03-19 |
| 1780970921 | Christopher Thomas Middendorf | Hospitalist | 1400 River Place, Braselton, GA 30517 | 2011-06-27 |
| 1043528268 | Medcare Physicians of Central Georgia, LLC | Hospitalist | 1040 Founders Row, Ste A, Greensboro, GA 30642-5261 | 2010-09-22 |
| 1619293354 | Aaron D Gluth | Hospitalist | 1364 Clifton Rd Ne Box M-7, Atlanta, GA 30322-1059 | 2010-04-19 |
| 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.