Active NPI
Dr. Mark a. Corbiit M.D. P.C.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Valdosta, GA
National Provider Identifier
1053591008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 047073
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 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 DirectoryLocations
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Valdosta, GA
- NPI 1780624445
-
- Physician Assistant
- Valdosta, GA
- NPI 1679541098
-
- Physician Assistant
- Silverdale, WA
- NPI 1881613032
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.