Valdosta Podiatry Associates, PC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

092-146 Issued in GA

Legal business name

VALDOSTA PODIATRY ASSOCIATES, PC

Doing business as

North Oak Ambulatory Surgery Center

Practice address

2718 N Oak St
Valdosta, GA 31602-1781

Phone

(229) 242-3668

Fax

(229) 253-8666

NPI assigned

Jun 14, 2006

Last updated

Oct 3, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Timothy E Pitts, D.P.MNPI 1952361024

Title

Medical Director/Physician

Phone

(229) 242-3668

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• North Oak Ambulatory Surgery Center Doing business as

Practitioners 1

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.

• Timothy E Pitts, DPM

  • Foot & Ankle Surgery Podiatrist
  • Valdosta, GA
  • NPI 1952361024
  Authorized official Same address or phone

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222992000000",
    "number": "1073556338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2718 N OAK ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021781",
            "telephone_number": "229-242-3668",
            "fax_number": "229-253-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2718 N OAK ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021781",
            "telephone_number": "229-242-3668",
            "fax_number": "229-253-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALDOSTA PODIATRY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2008-10-03",
        "status": "A",
        "authorized_official_last_name": "PITTS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/PHYSICIAN",
        "authorized_official_telephone_number": "229-242-3668",
        "authorized_official_credential": "D.P.M"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": "092-146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000489673A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Oak Ambulatory Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Valdosta Orthopedic Associates PC (Valdosta Orthopedic Associates)
• Valdosta Physical Therapy, Inc
• Valdosta Psychiatric Associates, LLC
• Valdosta State Prison Regional Pharmacy
• Valdosta State University (VSU Student Health Center)
• Valdosta State University
• Valdosta State University (Valdosta State University Sports Medicine)

• Ambulatory Surgical Clinic/Center in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Ambulatory Surgical Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.