NPIMap

Organization Active NPI

Valdosta Orthopedic Associates PC

Doing business as Valdosta Orthopedic Associates

  • Orthopaedic Surgery Physician
  • Valdosta, GA
National Provider Identifier
1053457457
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
VALDOSTA ORTHOPEDIC ASSOCIATES PC
Doing business as
Valdosta Orthopedic Associates
Practice address
3527 N Valdosta Road
Valdosta, GA 31602-1068
Phone
(229) 247-2290
Fax
(229) 244-2626
NPI assigned
Jan 30, 2007
Last updated
Apr 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Authorized official

Name
Oscar E Aguero Jr., MDNPI 1962406918
Title
President
Phone
(229) 247-2290

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X Primary

Addresses

Primary practice location

3527 N Valdosta Road
Valdosta, GA 31602-1068

Mailing address

3527 N Valdosta Road
Valdosta, GA 31602-1068
Phone (229) 247-2290

Other identifiers 6

IdentifierTypeStateIssuer
000544662AMedicaidGA
000954445AMedicaidGA
000304554DMedicaidGA
000327973BMedicaidGA
000653353AMedicaidGA
GRP1215OtherGAMEDICARE PTAN

Other names 1

  • Valdosta Orthopedic Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040319001326 GA Part B Supplier - Clinic/Group Practice 8325938491 Receives reassigned benefits from 28 practitioners
Practice locations: Valdosta, GA; Adel, GA
O20100930035141 GA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 8325938491 Practice locations: Valdosta, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2004076Valdosta Orthopedic Associates3527 North Valdosta Road, Valdosta, GA 31602Certificate of waiverFeb 24, 2028

National Provider Directory

National Provider Directory

Locations

3520 N Crossing Cir
Valdosta, GA 31602
Phone (229) 242-8394

3526 N Crossing Cir
Valdosta, GA 31602
Phone (229) 247-2290

3526 N Valdosta Rd
Valdosta, GA 31602

3527 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 247-2290

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11118/brand/5/csg/22/fhir/r4

Practitioners & affiliated clinicians

Practitioners 45

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1053457457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3527 N VALDOSTA ROAD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021068",
            "telephone_number": "229-247-2290",
            "fax_number": "229-244-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3527 N VALDOSTA ROAD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021068",
            "telephone_number": "229-247-2290",
            "fax_number": "229-244-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALDOSTA ORTHOPEDIC ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "AGUERO",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-247-2290",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000544662A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000954445A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000304554D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000327973B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000653353A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "GRP1215",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valdosta Orthopedic Associates",
            "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 Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.