Organization Active NPI

Wellness Center of Valdosta

  • Point of Service
  • Valdosta, GA
National Provider Identifier
1124364534
Registry record updated Dec 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
9760 Issued in GA
Legal business name
WELLNESS CENTER OF VALDOSTA
Practice address
206 E Adair St
Valdosta, GA 31601-4508
Phone
(229) 269-4250
Fax
(229) 269-4521
NPI assigned
Dec 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2012

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

Authorized official

Name
Ms. Nilaja Biggs
Title
Manager
Phone
(229) 269-4250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 9760 GA Primary

Addresses

Primary practice location

206 E Adair St
Valdosta, GA 31601-4508

Mailing address

206 E Adair St
Valdosta, GA 31601-4508
Phone (229) 269-4250

National Provider Directory

National Provider Directory

Locations

206 E Adair St
Valdosta, GA 31601
Phone (229) 269-4250

NPI Registry JSON

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

{
    "created_epoch": "1355356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355356800000",
    "number": "1124364534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 E ADAIR ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316014508",
            "telephone_number": "229-269-4250",
            "fax_number": "229-269-4521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 E ADAIR ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316014508",
            "telephone_number": "229-269-4250",
            "fax_number": "229-269-4521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS CENTER OF VALDOSTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-13",
        "last_updated": "2012-12-13",
        "status": "A",
        "authorized_official_last_name": "BIGGS",
        "authorized_official_first_name": "NILAJA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "229-269-4250",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "GA",
            "license": "9760",
            "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 Dec 13, 2012; 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.