Active NPI
South Georgia Orthopedics, P.C.
- Medical Specialty Clinic/Center
- Valdosta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 29316
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Orthopaedic Surgery Physician
- Valdosta, GA
- NPI 1215938501
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
- South Georgia Medical Center
- South Georgia Medical Center Inc (SGMC Health)
- South Georgia Medical Center Inc (Medical Center Pharmacy)
- South Georgia Medical Center Inc (SGMC Health)
- South Georgia Medical Practice
- South Georgia Pediatric and Allergy Center
- South Georgia Periodontics, PC
- South Georgia Psychiatric & Counseling Center
- South Georgia Regional Anesthesia, PC
- South Georgia Toxicology, Inc
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.