Organization Active NPI

Arunas Urbonas MD PLLC

  • Specialist
  • Valdosta, GA
National Provider Identifier
1003983883
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ARUNAS URBONAS MD PLLC
Practice address
3564B Northcrossing Cir
Valdosta, GA 31602-1067
Phone
(229) 247-1414
Fax
(229) 247-1978
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Arunas Urbonas, MDNPI 1790771004
Title
Physician
Phone
(229) 247-1414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

3564B Northcrossing Cir
Valdosta, GA 31602-1067

Mailing address

3564B Northcrossing Cir
Valdosta, GA 31602-1067
Phone (229) 247-1414

Other names 1

  • Kidney Care & Hypertention Clinic of South Georgia Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050118000496 GA Part B Supplier - Clinic/Group Practice 7719936665 Receives reassigned benefits from 9 practitioners
Practice locations: Valdosta, GA

National Provider Directory

National Provider Directory

Locations

3564 N Crossing Cir
Ste A
Valdosta, GA 31602
Phone (229) 249-3222

506 S Patterson St
Valdosta, GA 31601

506 N Patterson St
Valdosta, GA 31601
Phone (229) 219-0099

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003983883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3564B NORTHCROSSING CIR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021067",
            "telephone_number": "229-247-1414",
            "fax_number": "229-247-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3564B NORTHCROSSING CIR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021067",
            "telephone_number": "229-247-1414",
            "fax_number": "229-247-1978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARUNAS URBONAS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "URBONAS",
        "authorized_official_first_name": "ARUNAS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "229-247-1414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kidney Care & Hypertention Clinic of South Georgia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.