HOSPITAL AUTHORITY OF VALDOSTA & LOWNDES COUNTY, GA (NPI# 1629101779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629101779 |
| Entity Type | Organization |
| Organization Name | HOSPITAL AUTHORITY OF VALDOSTA & LOWNDES COUNTY, GA |
| Other Organization Name | GREENLEAF CENTER PHARMACY |
| Practice Address |
2501 N Patterson St Valdosta GA 31602-1735 |
| Mailing Address |
2209 Pineview Dr Valdosta GA 31602-7316 |
| Practice Telephone | 2292594938 |
| Practice Fax Number | 2292594925 |
| Mailing Telephone | 2296716675 |
| Mailing Fax Number | 2292457335 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MICHAEL LANE (ADMINISTRATOR) |
| Authorized Official Telephone | 2296716601 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1300X |
Pharmacist Specialization: Psychiatric |
PHH006327 | GA | Pharmacy Service Providers |
| Other Name | Type Code |
|---|---|
| Greenleaf Center Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770100422 | Hospital Authority of Valdosta & Lowndes County, Ga | Clinical Medical Laboratory | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2020-06-29 |
| Street Address |
2501 N PATTERSON ST |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602-1735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578566964 | John William Devine | Radiology | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2005-05-31 |
| 1770100422 | Hospital Authority of Valdosta & Lowndes County, Ga | Clinical Medical Laboratory | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2020-06-29 |
| 1700410602 | Danielle C Yund | Nurse Practitioner | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2020-02-28 |
| 1417597170 | Sgmc Physician Network Inc | Emergency Medicine | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2020-01-10 |
| 1497390116 | Stacey Newsome | Registered Nurse | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2019-11-18 |
| 1508417296 | Coastal Plain Radiology LLC | Radiology | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2019-09-24 |
| 1760030050 | Larissa Kathleen Frauenheim | Nurse Practitioner | 2501 N Patterson St, Valdosta, GA 31602-1785 | 2019-08-29 |
| 1336794734 | Jeffery Allan Baggett | Nurse Anesthetist, Certified Registered | 2501 N Patterson St, Valdosta, GA 31602-1785 | 2019-08-03 |
| 1689130312 | Kala Jo Bugg | Nurse Practitioner | 2501 N Patterson St, Valdosta, GA 31602-1785 | 2019-02-19 |
| 1588149819 | Philip Andrew Cooper | Nurse Practitioner | 2501 N Patterson St, Valdosta, GA 31602-1785 | 2018-10-02 |
| Find all providers in the same location | ||||
| 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 | 1835P1300X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Psychiatric |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881122679 | Nancy Bright | Pharmacist | 106 Dombey Rd, Savannah, GA 31410-4107 | 2017-05-24 |
| 1760475248 | Cherry Wyant Jackson | Pharmacist | 220 Bradley Point Rd, Savannah, GA 31410-3506 | 2005-08-30 |
| 1386641421 | Michael Wong Jann | Pharmacist | 2151 Peachford Rd, Atlanta, GA 30338-6534 | 2005-07-05 |
| 1346247806 | Beth M Hall | Pharmacist | 1352 Eisenhower Dr, Savannah, GA 31406-3902 | 2005-06-30 |
| 1437768827 | Ahyoung Cho | Pharmacist | 250 Scenic Hwy, Lawrenceville, GA 30046-5675 | 2020-07-30 |
| 1346786282 | Stephanie Phan | Pharmacist | 417 W 3rd Ave, Albany, GA 31701-1943 | 2017-01-17 |
| 1710227079 | Ashlee Rickard Riggs | Pharmacist | 3421 Mike Padgett Hwy, Building A, Augusta, GA 30906-3815 | 2013-02-25 |
| 1457678419 | Karla Elizabeth Lanier | Pharmacist | 306 Shorter Ave Nw, Rome, GA 30165-4268 | 2010-04-29 |
| 1265662654 | Debra L Cosby | Pharmacist | 1061 Harmon Ave, Suite 1d03, Fort Stewart, GA 31314-5641 | 2009-07-20 |
| 1700029873 | John Franklin Reese | Pharmacist | 445 Winn Way, Suite 220, Decatur, GA 30030-1707 | 2009-04-20 |
| 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.