LOWNDES COUNTY AMBULATORY SURGICAL CENTER (NPI# 1700943958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700943958 |
| Entity Type | Organization |
| Organization Name | LOWNDES COUNTY AMBULATORY SURGICAL CENTER |
| Practice Address |
3207 Country Club Dr Valdosta GA 31605-1029 |
| Practice Telephone | 2292428480 |
| Practice Fax Number | 2292477539 |
| Mailing Telephone | 2292428480 |
| Mailing Fax Number | 2292477539 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-12-19 |
| Authorized Official Name | MR. MICHAEL JOSEPH YOUNG (ADMINISTRATOR) |
| Authorized Official Telephone | 2292428480 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0800X |
Clinic/Center Specialization: Endoscopy |
092121 | GA | Ambulatory Health Care Facilities |
| Street Address |
3207 COUNTRY CLUB DR |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31605-1029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730180191 | William Roy Grow | Internal Medicine | 3207 Country Club Dr, Valdosta, GA 31605-1029 | 2005-08-09 |
| 1396950994 | Hernando Moreno | Internal Medicine | 3207 Country Club Dr, Valdosta, GA 31605-1029 | 2007-05-14 |
| 1538200035 | Valdosta Medical Clinic | Clinic/Center | 3207 Country Club Dr, Valdosta, GA 31605-1029 | 2007-02-09 |
| 1528106408 | Theresa Elaine Baize | Nurse Practitioner | 3207 Country Club Dr, Valdosta, GA 31605-1029 | 2007-02-02 |
| 1124016860 | Kesavan Gopa Kumar | Internal Medicine | 3207 Country Club Dr, Valdosta, GA 31605-1029 | 2005-10-06 |
| 1467449272 | Alford Timothy Brady | Internal Medicine | 3207 Country Club Dr, Valdosta, GA 31605-1029 | 2005-10-06 |
| 1316933823 | Edward John Fricker | Internal Medicine | 3207 Country Club Dr, Valdosta, GA 31605-1029 | 2005-09-21 |
| 1497749733 | Thomas Warren Hobby | Internal Medicine | 3207 Country Club Dr, Valdosta, GA 31605-1029 | 2005-09-01 |
| 1669465746 | Arvind Gupta | Internal Medicine | 3207 Country Club Dr, Valdosta, GA 31605-1029 | 2005-08-24 |
| 1447242367 | Jeffery Irwin Johnson | Internal Medicine | 3207 Country Club Dr, Valdosta, GA 31605-1029 | 2005-08-17 |
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| 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 | 261QE0800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Endoscopy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720625296 | Southwell Ambulatory Inc | Clinic/Center | 410 Connell Road, Valdosta, GA 31602-1407 | 2019-12-04 |
| 1215574926 | Southwell Ambulatory Inc | Clinic/Center | 3207 Country Club Drive, Valdosta, GA 31605-1029 | 2019-12-02 |
| 1831134121 | Valdosta Endoscopy Center, LLC | Clinic/Center | 410 Connell Rd, Valdosta, GA 31602-1407 | 2006-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376052928 | Newnan Endoscopy Center LLC | Clinic/Center | 1200 Lower Fayetteville Rd, Newnan, GA 30263 | 2017-09-27 |
| 1275871147 | Panola Endoscopy Center LLC | Clinic/Center | 5403 Hillandale Park Court, Suite A, Lithonia, GA 30058 | 2013-01-28 |
| 1760778765 | Gastrointestinal Diagnostic Endoscopy Woodstock, LLC | Clinic/Center | 118 Mill St, Suite 100, Woodstock, GA 30188-4879 | 2011-06-28 |
| 1558662858 | Athens Endoscopy, LLC | Clinic/Center | 21 Jefferson Pl Ste 2, Athens, GA 30601-1761 | 2010-11-03 |
| 1518127398 | Snooze, LLC | Clinic/Center | 307 Market Ct, Canton, GA 30114-4562 | 2008-06-14 |
| 1184714214 | Gainesville Endoscopy Center, LLC | Clinic/Center | 2324 Limestone Overlook Ste 200, Gainesville, GA 30501-7443 | 2006-10-12 |
| 1023102266 | Cobb Endoscopy Center LLC | Clinic/Center | 3969 South Cobb Dr, Suite 207, Smyrna, GA 30080 | 2006-10-03 |
| 1659384329 | Endoscopy Center LLC | Clinic/Center | 1139 Lexington Ave Ste B, Savannah, GA 31404 | 2006-08-14 |
| 1194761908 | Gwinnett Endoscopy Center, PC | Clinic/Center | 301 Philip Blvd, Suite B, Lawrenceville, GA 30046-8745 | 2006-06-21 |
| 1063458909 | Woodstock Endoscopy Center | Clinic/Center | 900 Towne Lake Pkwy Ste 310, Woodstock, GA 30189-1604 | 2006-06-21 |
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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.