Valdosta Medical Associates

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

VALDOSTA MEDICAL ASSOCIATES

Practice address

3300 Greystone Way
Valdosta, GA 31605-7427

Phone

(229) 247-7700

NPI assigned

Mar 21, 2007

Last updated

Aug 22, 2020By 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

Dr. Prem Kumar, M.D.NPI 1124003587

Title

Manager

Phone

(229) 247-7700

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Prem Kumar, M.D.

  • Internal Medicine Physician
  • Valdosta, GA
  • NPI 1124003587
  Authorized official Same address or phone
• Mandy Katrice Lucas, M.D.

  • Family Medicine Physician
  • Nashville, GA
  • NPI 1346531662
  NPD (past)

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093831083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 DEERBROOK DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316024245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 GREYSTONE WAY",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316057427",
            "telephone_number": "229-247-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALDOSTA MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "PREM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "229-247-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valdosta Gastroenterology Associates, LLC
• Valdosta Health & Wellness Clinic Inc
• Valdosta Healthcare Club
• Valdosta Imaging Center Inc
• Valdosta Kidney Clinic, LLC
• Valdosta Medical Clinic
• Valdosta Oral and Maxillofacial Surgeons
• Valdosta Orthopedic Associates PC (Valdosta Orthopedic Associates)
• Valdosta Physical Therapy, Inc
• Valdosta Podiatry Associates, PC (North Oak Ambulatory Surgery Center)

• Internal Medicine Physician in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.