Active NPI
Valdosta Urological Associates
- Specialist
- Valdosta, GA
National Provider Identifier
1144404484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 042458
- Legal business name
- VALDOSTA UROLOGICAL ASSOCIATES
- Practice address
- 3543 North Crossing Circle
Valdosta, GA 31602 - Phone
- (229) 244-1736
- Fax
- (229) 242-5666
- NPI assigned
- Dec 21, 2007
- Last updated
- Dec 21, 2007
- 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. Joseph David Sule, MD
- Title
- Ceo
- Phone
- (229) 244-1736
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 042458 | GA | Primary |
Addresses
Primary practice location
3543 North Crossing Circle
Valdosta, GA 31602
Mailing address
3543 North Crossing Circle
Valdosta, GA 31602
Phone (229) 244-1736
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00718891A | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
3543 N Crossing Cir
Valdosta, GA 31602
Phone (229) 244-1736
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Nurse Practitioner
- Valdosta, GA
- NPI 1578673349
-
- Physician Assistant
- Kalispell, MT
- NPI 1386752186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1198195200000",
"number": "1144404484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3543 NORTH CROSSING CIRCLE",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "31602",
"telephone_number": "229-244-1736",
"fax_number": "229-242-5666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3543 NORTH CROSSING CIRCLE",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "31602",
"telephone_number": "229-244-1736",
"fax_number": "229-242-5666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALDOSTA UROLOGICAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-21",
"last_updated": "2007-12-21",
"status": "A",
"authorized_official_last_name": "SULE",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "229-244-1736",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "042458",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00718891A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Valdosta, GA
- Valdosta State University (VSU Student Health Center)
- Valdosta State University
- Valdosta State University (Valdosta State University Sports Medicine)
- Valdosta State University Student Health Services
- Valdosta Urgent Care LLC
- Valdosta Womens Health Center PC
- Brandy R. Van Jura, FNP-C
- Shawn David Vandemark, M.D.
- Caryn Elizabeth Vandergriff, LPC
- Abbey Walker Vandermeid, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.