Organization Active NPI

Verdant Care Services LLC

  • Cardiovascular Disease Physician
  • Hazlehurst, GA
National Provider Identifier
1245000413
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
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

Updated by the provider on Feb 7, 2024

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)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.