Organization Active NPI

South Georgia Orthopedics, P.C.

  • Medical Specialty Clinic/Center
  • Valdosta, GA
National Provider Identifier
1134316920
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
29316 Issued in GA
Legal business name
SOUTH GEORGIA ORTHOPEDICS, P.C.
Practice address
2310 N Patterson St
BLD. D
Valdosta, GA 31602-2568
Phone
(229) 247-2482
Fax
(229) 247-0827
NPI assigned
Sep 26, 2007
Last updated
Aug 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2010

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

Authorized official

Name
Dr. Raymond Derry Crosby, D.O.NPI 1215938501
Title
Ceo
Phone
(229) 247-2482

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 29316 GA Primary

Addresses

Primary practice location

2310 N Patterson St
BLD. D
Valdosta, GA 31602-2568

Mailing address

2310 N Patterson St
BLD. D
Valdosta, GA 31602-2568
Phone (229) 247-2482

National Provider Directory

National Provider Directory

Locations

2310 N Patterson St
Bldg D
Valdosta, GA 31602
Phone (229) 247-2482

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280966400000",
    "number": "1134316920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 N PATTERSON ST",
            "address_2": "BLD. D",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022568",
            "telephone_number": "229-247-2482",
            "fax_number": "229-247-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 N PATTERSON ST",
            "address_2": "BLD. D",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022568",
            "telephone_number": "229-247-2482",
            "fax_number": "229-247-0827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH GEORGIA ORTHOPEDICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2010-08-05",
        "status": "A",
        "authorized_official_last_name": "CROSBY",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "DERRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "229-247-2482",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "GA",
            "license": "29316",
            "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 Aug 5, 2010; 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.