Anil K Gupta (NPI# 1568490944, PAC ID# 5294771325) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1568490944 |
| PAC ID by PECOS | 5294771325 |
| Professional Enrollment ID | I20060215000360 |
| Full Name | Anil K Gupta |
| Organization Legal Name | AR PSYCHIATRIC AND COUNSELING CENTER |
| Address |
3312 N Oak St Ext Bldg D Valdosta GA 31605-1066 |
| Phone Number | 2292442030 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1987 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 9335326941 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110095 | TIFT REGIONAL MEDICAL CENTER |
| 110073 | DORMINY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2014 Pineview Ave, Tifton, GA 31794-3035 | 2293878878 | AR PSYCHIATRIC AND COUNSELING CENTER |
| 3312 N Oak St Ext, Bldg D, Valdosta, GA 31605-1066 | 2292442030 | AR PSYCHIATRIC AND COUNSELING CENTER |
| Organization Legal Name | AR PSYCHIATRIC AND COUNSELING CENTER |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| 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 |
| Street Address |
3312 N OAK ST EXT BLDG D |
| City | VALDOSTA |
| State | GA |
| Zip | 31605-1066 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| 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 |
| James H Campagna | Interventional Pain Management | 3312 N Oak St Ext, Suite F, Valdosta, GA 31605-1605 |
| 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 |
| Lyndi Farnam | Clinical Social Worker | 3354 Greystone Way, Valdosta, GA 31605-1096 | |
| Fauzia K Durrani | Allergy/immunology | 3308 Greystone Way, Valdosta, GA 31605-1096 | |
| Find all physicians in zip 31605 | |||
| City | VALDOSTA |
| Zip Code | 31605 |
| Specialty | PSYCHIATRY |
| City + Specialty | VALDOSTA + PSYCHIATRY |
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| 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.