VALDOSTA HYPERTENSION CLINIC (NPI# 1992940043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992940043 |
| Entity Type | Organization |
| Organization Name | VALDOSTA HYPERTENSION CLINIC |
| Practice Address |
1815 Old Ocilla Rd Tifton GA 31794-1617 |
| Practice Telephone | 2293913527 |
| Practice Fax Number | 2293913528 |
| Mailing Telephone | 2293913527 |
| Mailing Fax Number | 2293913528 |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2008-12-03 |
| Authorized Official Name | SAAD E BEDEIR (OWNER) |
| Authorized Official Telephone | 2293913527 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
046734 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
1815 OLD OCILLA RD |
| City | TIFTON |
| State | GA |
| Zip Code | 31794-1617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437119583 | Robert Gregory Anderson | Urology | 1815 Old Ocilla Rd, Tifton, GA 31794-1617 | 2006-03-24 |
| 1083223853 | Christopher Gravitt | Registered Nurse | 1815 Old Ocilla Rd, Tifton, GA 31794-1617 | 2020-07-28 |
| 1386187896 | Tift Regional Health System Inc | Urology | 1815 Old Ocilla Rd, Tifton, GA 31794-1617 | 2016-12-01 |
| 1740736263 | Christopher Allen Pate | Nurse Practitioner | 1815 Old Ocilla Rd, Tifton, GA 31794-1617 | 2016-08-26 |
| 1902232838 | Evelyn Jane Watson Murray | Nurse Practitioner | 1815 Old Ocilla Rd, Tifton, GA 31794-1617 | 2013-09-24 |
| 1407106933 | Urosurg, LLC | Clinic/Center | 1815 Old Ocilla Rd, Tifton, GA 31794-1617 | 2012-09-12 |
| 1659567832 | Micah A Willis | Nurse Practitioner | 1815 Old Ocilla Rd, Tifton, GA 31794-1617 | 2007-09-20 |
| 1912068503 | Tiftarea Urology, PC | Specialist | 1815 Old Ocilla Rd, Tifton, GA 31794-1617 | 2006-12-13 |
| 1134176076 | Melinda K Knight | Urology | 1815 Old Ocilla Rd, Tifton, GA 31794-1617 | 2006-05-27 |
| 1265492326 | Jeffry John Peters | Urology | 1815 Old Ocilla Rd, Tifton, GA 31794-1617 | 2006-03-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234043 | Deloris Lunsford | Licensed Practical Nurse | 903 Washington St., Tifton, GA 31794 | 2020-01-17 |
| 1194383075 | William Jordan Kinnett | Registered Nurse | 1205 Tift Ave N, Tifton, GA 31794 | 2019-06-05 |
| 1598321200 | Courtlyn Christanna Fussell | Pharmacist | 2201 Hwy 41 N, Tifton, GA 31794 | 2019-05-17 |
| 1376027722 | Martha Gibbs | Nurse Practitioner | Affinity Clinic/west Campus, 2225 Us Hwy 41 North, Tifton, GA 31794 | 2018-09-21 |
| 1427541044 | Rebekah F Cottle | Speech-Language Pathologist | 2227 Highway 41 North, Tifton, GA 31794 | 2018-06-08 |
| 1790280857 | Tift Regional Health System Inc | Ophthalmology | 1803 Old Ocilla Road, Tifton, GA 31794 | 2018-03-29 |
| 1568975431 | Skyler Clark | Pharmacist | 2201 North 12th Street, Tifton, GA 31794 | 2017-11-14 |
| 1538606306 | Imagine Peace Counseling LLC | Counselor | 223 E 2nd Street, Suite B, Tifton, GA 31794 | 2017-01-31 |
| 1073056347 | Jessica Tumbling | Contractor | 219 Savannah Way, Tifton, GA 31794 | 2016-11-18 |
| 1992159503 | Joseph Thomas Seagraves Jr. | Nurse Practitioner | 901 East 18th Street, Tifton, GA 31794 | 2016-04-20 |
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| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366556888 | Alberto Espinola | Internal Medicine | 1010 Edgefield Dr, Tifton, GA 31794-2408 | 2006-08-19 |
| 1053933754 | Tift Regional Health System Inc | Internal Medicine | 39 Kent Rd Ste 1, Tifton, GA 31794-1697 | 2020-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053968511 | Gwinnett Nephrology LLC | Internal Medicine | 1567 Janmar Rd Ste 100, Snellville, GA 30078-0308 | 2019-08-20 |
| 1063070654 | Kidney Specialists of Georgia PC | Internal Medicine | 575 Professional Dr Ste 290, Lawrenceville, GA 30046-3347 | 2019-05-30 |
| 1295219103 | Renal Associates of Lagrange LLC | Internal Medicine | 1300 Lafayette Pkwy Ste D, Lagrange, GA 30241-2610 | 2018-09-18 |
| 1912484395 | Atlanta Kidney Care LLC | Internal Medicine | 1462 Montreal Rd Ste 214, Tucker, GA 30084-6931 | 2018-07-27 |
| 1932591948 | Georgia Renal and Hypertension Care Inc | Internal Medicine | 928 S Park St, Suite H, Carrollton, GA 30117-4501 | 2015-02-27 |
| 1316344492 | Oconee Nephrology Associates, Inc. | Internal Medicine | 700 Oglethorpe Ave., Suite B1, Athens, GA 30606 | 2014-12-04 |
| 1134524853 | Sheryl Cababat Caberto | Internal Medicine | 1648 Pierce Dr Ne, Atlanta, GA 30307 | 2014-10-23 |
| 1306265384 | Srikar Kumar | Internal Medicine | 250 Village Center Pkwy Ste 100, Stockbridge, GA 30281-9104 | 2014-04-07 |
| 1477995868 | Moti Samaki | Internal Medicine | 1500 Oglethorpe Ave Ste 500c, Athens, GA 30606-2184 | 2013-07-25 |
| 1902143233 | Barry Jay Rosenbaum | Internal Medicine | 2000 Castleway Dr Ne, Atlanta, GA 30345-3914 | 2013-01-07 |
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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.