Jose Medina (NPI# 1417944513, PAC ID# 0244124931) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1417944513 |
| PAC ID by PECOS | 0244124931 |
| Professional Enrollment ID | I20040622000434 |
| Full Name | Jose Medina |
| Address |
3334 Greystone Way Valdosta GA 31605-1096 |
| Gender | M |
| Credential | MD |
| Medical School | STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | PULMONARY DISEASE, SLEEP MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110122 | SOUTH GEORGIA MEDICAL CENTER |
| 110101 | COOK MEDICAL CENTER A CAMPUS OF TIFT REG MED CTR |
| 111326 | SGMC LANIER CAMPUS |
| 101311 | MADISON COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 801 Brickell Ave, Suite 954, Miami, FL 33131-2951 | ||
| 3334 Greystone Way, Valdosta, GA 31605-1096 |
| Street Address |
3334 GREYSTONE WAY |
| City | VALDOSTA |
| State | GA |
| Zip | 31605-1096 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Trevor Lawton Davis | Physician Assistant | Brian C. Griner, Md, LLC | 3301 N Oak St Ext, Valdosta, GA 31605 |
| Brian D Blanton Jr. | Physician Assistant | Urological Clinic of Valdosta | 3294 N Oak St Ext, Valdosta, GA 31605 |
| Patrick Michael Parker | Urology | Urological Clinic of Valdosta | 3294 N Oak St Ext, Valdosta, GA 31605 |
| Mike S Chiang | Urology | Urological Clinic of Valdosta | 3294 N Oak St Ext, Valdosta, GA 31605 |
| Bradley G Ridge | Physician Assistant | Urological Clinic of Valdosta | 3294 N Oak St Ext, Valdosta, GA 31605 |
| Seth Courson | Internal Medicine | Brian C. Griner, Md, LLC | 3301 N Oak St Ext, Valdosta, GA 31605 |
| Carlos I Ortiz | Optometry | Georgia-florida Eye Centers, P.C. | 3404 Greystone Way, Valdosta, GA 31605-1048 |
| Michael J Magbalon | Ophthalmology | Georgia-florida Eye Centers, P.C. | 3404 Greystone Way, Valdosta, GA 31605-1048 |
| Susan R Gordon | Clinical Social Worker | Ar Psychiatric and Counseling Center | 3312 N Oak St Ext, Bldg D, Valdosta, GA 31605-1066 |
| Michele L Walker | Clinical Social Worker | Ar Psychiatric and Counseling Center | 3312 N Oak St Ext, Bldg D, Valdosta, GA 31605-1066 |
| Find all physicians in zip 31605 | |||
| City | VALDOSTA |
| Zip Code | 31605 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | VALDOSTA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jose Medina.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.