Individual provider Active NPI

Guillermo R Saurina

  • Infectious Disease Physician
  • Valdosta, GA
National Provider Identifier
1255390084
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
48570 Issued in GA
Practice address
2301 N Ashley St
Valdosta, GA 31602-2620
Phone
(229) 245-0666
NPI assigned
Mar 21, 2006
Last updated
Mar 7, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 48570 GA Primary

Addresses

Primary practice location

2301 N Ashley St
Valdosta, GA 31602-2620

Mailing address

2301 N Ashley St
Valdosta, GA 31602-2620
Phone (229) 245-0666

Other identifiers 2

IdentifierTypeStateIssuer
000876565AMedicaidGA
262103700MedicaidFL

Other names 1

  • Dr. Guillermo R Saurina Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.39 of 100Reported as group
Quality
74.12
Promoting interoperability
100
Improvement activities
40
Cost
77.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48570GAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299456000000",
    "number": "1255390084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 N ASHLEY ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022620",
            "telephone_number": "229-245-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 N ASHLEY ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022620",
            "telephone_number": "229-245-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAURINA",
        "first_name": "GUILLERMO",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2011-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "GA",
            "license": "48570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000876565A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262103700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GUILLERMO",
            "last_name": "SAURINA",
            "middle_name": "R",
            "prefix": "DR.",
            "credential": "MD, MSC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.