NPIMap

Organization Active NPI

Care Medical Center LLC

  • Exclusive Provider Organization
  • Valdosta, GA
National Provider Identifier
1063521250
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
007773 Issued in GA
Legal business name
CARE MEDICAL CENTER LLC
Practice address
2804 N Oak St
Suite C
Valdosta, GA 31602-1716
Phone
(229) 241-8925
Fax
(229) 241-7672
NPI assigned
Aug 30, 2006
Last updated
Mar 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Authorized official

Name
James Ryan Moorman, DC
Title
Manager
Phone
(229) 241-8925

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Physical Therapy Clinic/Center 261QP2000X
Exclusive Provider Organization 302F00000X 007773 GA Primary

Addresses

Primary practice location

2804 N Oak St
Suite C
Valdosta, GA 31602-1716

Mailing address

2804 N Oak St
Suite C
Valdosta, GA 31602-1716
Phone (229) 241-8925

Other practice location 1

310 Shirley Ave
Douglas, GA 31533-2332
Phone (912) 260-3650

Other identifiers 1

IdentifierTypeStateIssuer
GRP6935OtherGAMEDICARE GROUP

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050201000493 GA Part B Supplier - Clinic/Group Practice 6406807015 Receives reassigned benefits from 51 practitioners
2 other NPIs on this enrollment
Practice locations: Tifton, GA; Waycross, GA; Valdosta, GA; Nashville, GA; Jesup, GA; Douglas, GA; Brunswick, GA; Adel, GA
O20100930070510 GA DME Supplier - Physician - Physical and Rehabilitation 6406807015 Practice locations: Valdosta, GA

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

310 Shirley Ave
Douglas, GA 31533
Phone (912) 260-3650

203 W Hamilton Ave
Nashville, GA 31639
Phone (229) 686-2277

Practitioners & affiliated clinicians

Practitioners 52

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 52

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773619200000",
    "number": "1063521250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 N OAK ST",
            "address_2": "SUITE C",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021716",
            "telephone_number": "229-241-8925",
            "fax_number": "229-241-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 N OAK ST",
            "address_2": "SUITE C",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021716",
            "telephone_number": "229-241-8925",
            "fax_number": "229-241-7672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 Shirley Ave",
            "address_purpose": "LOCATION",
            "city": "Douglas",
            "state": "GA",
            "postal_code": "315332332",
            "country_code": "US",
            "telephone_number": "912-260-3650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARE MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A",
        "authorized_official_last_name": "MOORMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "229-241-8925",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "GA",
            "license": "007773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "GRP6935",
            "state": "GA"
        }
    ],
    "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 Mar 16, 2026; 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.