Valdosta Womens Health Center PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

VALDOSTA WOMENS HEALTH CENTER PC

Practice address

604 E Park Ave
Valdosta, GA 31602-3060

Phone

(229) 333-0277

Fax

(229) 241-1608

NPI assigned

Jul 30, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. John Anthony Courson

Title

Business Manager

Phone

(229) 333-0277

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cheryl M Kitchel, CNM

  • Midwife
  • Valdosta, GA
  • NPI 1275548950
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547769600000",
    "number": "1003821786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2130",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316042130",
            "telephone_number": "229-333-0277",
            "fax_number": "229-241-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 E PARK AVE",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316023060",
            "telephone_number": "229-333-0277",
            "fax_number": "229-241-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALDOSTA WOMENS HEALTH CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2019-01-18",
        "status": "A",
        "authorized_official_last_name": "COURSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "229-333-0277",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055002367A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valdosta State University
• Valdosta State University (Valdosta State University Sports Medicine)
• Valdosta State University Student Health Services
• Valdosta Urgent Care LLC
• Valdosta Urological Associates
• Brandy R. Van Jura, FNP-C
• Shawn David Vandemark, M.D.
• Caryn Elizabeth Vandergriff, LPC
• Abbey Walker Vandermeid, NP
• Kaila Rose Vanlieshout

• Obstetrics & Gynecology Physician in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.