Active NPI
Verdant Care Services LLC
- Cardiovascular Disease Physician
- Hazlehurst, GA
National Provider Identifier
1245000413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- VERDANT CARE SERVICES LLC
- Practice address
- 180 Burketts Ferry Rd
Hazlehurst, GA 31539-7132 - Phone
- (912) 375-3677
- NPI assigned
- Jan 8, 2024
- 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
- Rachel Courson
- Title
- Billing Manager
- Phone
- (912) 592-5591
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
180 Burketts Ferry Rd
Hazlehurst, GA 31539-7132
Mailing address
123 Mathis St
Fitzgerald, GA 31750-8532
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707264000000",
"number": "1245000413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 MATHIS ST",
"city": "FITZGERALD",
"state": "GA",
"postal_code": "317508532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 BURKETTS FERRY RD",
"city": "HAZLEHURST",
"state": "GA",
"postal_code": "315397132",
"telephone_number": "912-375-3677"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VERDANT CARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-08",
"last_updated": "2024-02-07",
"certification_date": "2024-01-30",
"status": "A",
"authorized_official_last_name": "COURSON",
"authorized_official_first_name": "RACHEL",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "912-592-5591"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hazlehurst, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.