Organization Active NPI

Dr. Mark a. Corbiit M.D. P.C.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Valdosta, GA
National Provider Identifier
1053591008
Registry record updated Oct 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
047073 Issued in GA
Legal business name
DR. MARK A. CORBIIT M.D. P.C.
Practice address
104 W Northside Dr
Valdosta, GA 31602-1713
Phone
(229) 333-0300
Fax
(229) 333-0962
NPI assigned
Nov 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2008

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

Authorized official

Name
Paula D. McCarty, LPN
Title
Office Manager
Phone
(229) 333-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X 047073 GA Primary

Addresses

Primary practice location

104 W Northside Dr
Valdosta, GA 31602-1713

Mailing address

104 W Northside Dr
Valdosta, GA 31602-1713
Phone (229) 333-0300

National Provider Directory

National Provider Directory

Locations

104 W Northside Dr
Valdosta, GA 31602
Phone (229) 219-7616

Practitioners & affiliated clinicians

Practitioners 3

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": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1053591008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W NORTHSIDE DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021713",
            "telephone_number": "229-333-0300",
            "fax_number": "229-333-0962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W NORTHSIDE DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021713",
            "telephone_number": "229-333-0300",
            "fax_number": "229-333-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARK A. CORBIIT M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "MCCARTY",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "229-333-0300",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "GA",
            "license": "047073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 1, 2008; 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.