Georgia Correctional Health Care

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

RN135376 Issued in GA

Legal business name

GEORGIA CORRECTIONAL HEALTH CARE

Practice address

3259 Val Tech Rd
Valdosta, GA 31602-9309

Phone

(229) 249-4971

NPI assigned

May 20, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Billy Nichols, MD

Title

Statewide Medical Director

Phone

(229) 249-4971

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1164801460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5899 OLD US 41 N",
            "city": "HAHIRA",
            "state": "GA",
            "postal_code": "316322427",
            "telephone_number": "229-794-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3259 VAL TECH RD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316029309",
            "telephone_number": "229-249-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA CORRECTIONAL HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "BILLY",
        "authorized_official_title_or_position": "STATEWIDE MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "229-249-4971",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "GA",
            "license": "RN135376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genoa Healthcare LLC
• Frank Larry George, OTR/L
• Judson George, OTR/L
• Taylor Elizabeth George, OTR/L
• Georgia Care Group LLC
• Georgia CVS Pharmacy, L.L.C.
• Georgia Em-I Medical Services, PC
• Georgia ENT & Facial Plastics, P.C.
• Georgia Pines Community Service Board
• Georgia Regents University

• Public Health or Welfare Agency in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Public Health or Welfare Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.