DR. EDWIN LEE HIATT (NPI# 1699889121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699889121 |
| Entity Type | Individual |
| Full Name | DR. EDWIN LEE HIATT |
| Other Name | DR. EDWIN LEE HIATT |
| Credential | M.D. |
| Practice Address |
2841 N Patterson St Valdosta GA 31602-1743 |
| Mailing Address |
511 W Cotton Ave Lake Park GA 31636-6601 |
| Practice Telephone | 2292930132 |
| Practice Fax Number | 2292930162 |
| Mailing Telephone | 2295597611 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
12920 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
2841 N PATTERSON ST |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602-1743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962498964 | Victor A. Folarin | Family Medicine | 2841 N Patterson St, Nf/sg Vahs Valdosta Outpatient Clinic, Valdosta, GA 31602-1890 | 2005-09-25 |
| 1205236759 | Amy Reynolds | Licensed Practical Nurse | 2841 N Patterson St, Valdosta, GA 31602-1890 | 2014-09-02 |
| 1992957229 | Sherri Shuman Willis | Social Worker | 2841 N Patterson St, Valdosta, GA 31602-1743 | 2008-10-17 |
| 1356503460 | Daisy Fiveash Striggles | Nurse Practitioner | 2841 N Patterson St, Valdosta, GA 31602-1743 | 2008-06-30 |
| 1790974319 | William Anthony Jordan | Counselor | 2841 N Patterson St, Valdosta, GA 31602-1743 | 2007-10-19 |
| 1497819635 | Steve M Bowland | Social Worker | 2841 N Patterson St, V. A. Outpatient Clinic, Valdosta, GA 31602-1890 | 2006-12-21 |
| 1962516625 | Emily Burton | Psychologist | 2841 N Patterson St, Valdosta, GA 31602-1743 | 2006-08-19 |
| 1801815543 | Leeann Martin | Social Worker | 2841 N Patterson St, Valdosta, GA 31602-1743 | 2006-07-19 |
| 1447295498 | Lester R. Johnson | Emergency Medicine | 2841 N Patterson St, Valdosta, GA 31602-1890 | 2006-06-16 |
| 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 | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306464250 | Leah Reed | Family Medicine | 2082 Cherokee Farms Cv, Buford, GA 30519-7004 | 2020-07-08 |
| 1083240766 | Carehere LLC | Family Medicine | 114 N Jackson St, Albany, GA 31701-2583 | 2020-03-13 |
| 1518590744 | Octavia Raquel Holloway-freeman | Family Medicine | 301 Denmark St, Statesboro, GA 30458-5208 | 2020-02-17 |
| 1891331575 | Jenna Barnes | Family Medicine | 1107 Memorial Dr Ste 300, Dalton, GA 30720-8664 | 2019-11-18 |
| 1023651205 | Carehere LLC | Family Medicine | 750 S Perry St Ste 200, Lawrenceville, GA 30046-4804 | 2019-10-21 |
| 1003385733 | James G Hamilton Jr Md LLC | Family Medicine | 4898 Highway 197, Mount Airy, GA 30563-2442 | 2018-11-26 |
| 1780161323 | Personal Wellness Inc. | Family Medicine | 625 Boxwood Ter, Johns Creek, GA 30005-7217 | 2018-07-26 |
| 1073005138 | Lake Oconee Wellness Associates LLC | Family Medicine | 1097 Lake Oconee Pkwy Ste 201, Eatonton, GA 31024-9510 | 2018-06-05 |
| 1376034983 | Lee Pennington Mcnichols | Family Medicine | 2300 Bethelview Rd Ste 110-332, Cumming, GA 30040-9475 | 2018-05-21 |
| 1972021301 | Docpecox, LLC | Family Medicine | 755 Mount Vernon Hwy Ne Ste 350, Atlanta, GA 30328-4291 | 2017-09-06 |
| 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.