Individual provider Active NPI

Vera C Garcia, MD

  • Family Medicine Physician
  • Valdosta, GA
National Provider Identifier
1154401107
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
54375 Issued in GA
Practice address
4370 Kings Way Ste E
Valdosta, GA 31602
Phone
(229) 247-7767
Fax
(229) 247-7626
NPI assigned
Oct 16, 2006
Last updated
Aug 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 54375 GA Primary

Addresses

Primary practice location

4370 Kings Way Ste E
Valdosta, GA 31602

Mailing address

4370 Kings Way Ste E
Valdosta, GA 31602-6905
Phone (229) 247-7767

Other practice location 1

209 E Main St
Hahira, GA 31632-1121
Phone (229) 794-1794

Other identifiers 1

IdentifierTypeStateIssuer
874346206AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040730000376 GA Practitioner - Family Practice 6204815160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SGMC Physician Network IncGroup PAC ID 4082036843, 128 clinicians

Practice addresses (Care Compare)

209 E Main St
Hahira, GA 31632-1121
Phone (229) 433-8100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
54375GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SGMC Affiliated Services LLC Current Accepting new patients
SGMC Physician Network Inc Family Medicine CurrentSince Nov 1, 2020 Accepting new patients

Locations

209 E Main St
Hahira, GA 31632
Phone (229) 433-8100

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

4280 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 433-7350

4370 Kings Way
Ste E
Valdosta, GA 31602
Phone (229) 247-7177

Interoperability endpoints

  • Direct secure messaging: vgarcia6924@sgmc.gadirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1154401107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4370 KINGS WAY STE E",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316026905",
            "telephone_number": "229-247-7767",
            "fax_number": "229-247-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4370 KINGS WAY STE E",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "31602",
            "telephone_number": "229-247-7767",
            "fax_number": "229-247-7626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 E Main St",
            "address_purpose": "LOCATION",
            "city": "Hahira",
            "state": "GA",
            "postal_code": "316321121",
            "country_code": "US",
            "telephone_number": "229-794-1794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "VERA",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "54375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "874346206A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.