Valdosta Gastroenterology Associates, LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

VALDOSTA GASTROENTEROLOGY ASSOCIATES, LLC

Practice address

410 Connell Rd
Valdosta, GA 31602-1407

Phone

(229) 244-1570

Fax

(229) 247-1084

NPI assigned

Jun 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Eric M Ward, MDNPI 1699703041

Title

Physician

Phone

(229) 244-1570

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric M Ward, M.D.

  • Gastroenterology Physician
  • Valdosta, GA
  • NPI 1699703041
  Medicare reassignment NPD Authorized official
• Nathan Kelly Roberson, NP-C

  • Nurse Practitioner
  • Valdosta, GA
  • NPI 1023532280
  Medicare reassignment NPD
• Kathryn C Watt, NPC

  • Family Nurse Practitioner
  • Valdosta, GA
  • NPI 1154446862
  Medicare reassignment NPD
• Carl Allen Woods Jr., M.D.

  • Gastroenterology Physician
  • Panama City, FL
  • NPI 1174550727

  GA

  Medicare reassignment NPD

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339113600000",
    "number": "1114962255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 CONNELL RD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021407",
            "telephone_number": "229-244-1570",
            "fax_number": "229-247-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 CONNELL RD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021407",
            "telephone_number": "229-244-1570",
            "fax_number": "229-247-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALDOSTA GASTROENTEROLOGY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2012-06-08",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "229-244-1570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300036012A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Valdosta Foot & Ankle Clinic, P.C.
• Valdosta Foot & Ankle Surgery Center, P.C.
• Valdosta Health & Wellness Clinic Inc
• Valdosta Healthcare Club
• Valdosta Imaging Center Inc
• Valdosta Kidney Clinic, LLC
• Valdosta Medical Associates

• Gastroenterology Physician in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Gastroenterology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; 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.