Individual provider Active NPI

Georgia Georgetta Oropeza, LCSW

  • Clinical Social Worker
  • Moody Afb, GA
National Provider Identifier
1275948465
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW005103 Issued in GA
Practice address
3280 Mitchell Blvd
Moody Afb, GA 31699-2537
Phone
(229) 630-5113
NPI assigned
Jun 25, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW005103 GA Primary

Addresses

Primary practice location

3280 Mitchell Blvd
Moody Afb, GA 31699-2537

Mailing address

303 Woodrow Wilson Dr
Valdosta, GA 31602-2537

Other practice location 1

303 Woodrow Wilson Dr
Valdosta, GA 31602-2537
Phone (229) 244-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140811001041 GA Practitioner - Clinical Social Worker 6709003007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Livingstone a Rasalam, MD PCGroup PAC ID 9931197217, 2 clinicians

Practice addresses (Care Compare)

303 Woodrow Wilson Dr
Valdosta, GA 31602-2537
Phone (229) 244-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Livingstone a. Rasalam, M.D. P.C. CurrentSince Jul 7, 2014 Accepting new patients

Locations

303 Woodrow Wilson Dr
Valdosta, GA 31602
Phone (229) 244-5000

3338 Country Club Rd
Ste L1
Valdosta, GA 31605
Phone (229) 234-2505

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1275948465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 WOODROW WILSON DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 MITCHELL BLVD",
            "city": "MOODY AFB",
            "state": "GA",
            "postal_code": "316992537",
            "telephone_number": "229-630-5113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 Woodrow Wilson Dr",
            "address_purpose": "LOCATION",
            "city": "Valdosta",
            "state": "GA",
            "postal_code": "316022537",
            "country_code": "US",
            "telephone_number": "229-244-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OROPEZA",
        "first_name": "GEORGIA",
        "middle_name": "GEORGETTA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-25",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moody Afb, GA

Sources for this page

Verify at the official NPI Registry.