Organization Active NPI

Golden Isles Healthcare,LLC

  • Family Nurse Practitioner
  • McRae, GA
National Provider Identifier
1164075347
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
GOLDEN ISLES HEALTHCARE,LLC
Practice address
144 E Oak St
MC Rae, GA 31055-4338
Phone
(229) 868-7342
Fax
(229) 868-4344
NPI assigned
Jul 17, 2019
Last updated
Jul 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Authorized official

Name
Valarie I Webb, NP-CNPI 1033342506
Title
Nurse Practioner/ Owner
Phone
(229) 868-7342

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

144 E Oak St
MC Rae, GA 31055-4338

Mailing address

144 E Oak St
MC Rae, GA 31055-4338
Phone (229) 868-7342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191010001533 GA Part B Supplier - Clinic/Group Practice 3173854866 Receives reassigned benefits from 3 practitioners
Practice locations: MC Rae, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2172258Golden Isles Healthcare, LLC144 East Oak Street, McRae, GA 31055ComplianceOct 26, 2026

National Provider Directory

National Provider Directory

Locations

144 E Oak St
Mc Rae Helena, GA 31055
Phone (229) 868-2112

Practitioners & affiliated clinicians

Practitioners 5

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": "1563321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1164075347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 E OAK ST",
            "city": "MC RAE",
            "state": "GA",
            "postal_code": "310554338",
            "telephone_number": "229-868-7342",
            "fax_number": "229-868-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 E OAK ST",
            "city": "MC RAE",
            "state": "GA",
            "postal_code": "310554338",
            "telephone_number": "229-868-7342",
            "fax_number": "229-868-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN ISLES HEALTHCARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "VALARIE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "NURSE PRACTIONER/ OWNER",
        "authorized_official_telephone_number": "229-868-7342",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McRae, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.