Parkwood Developmental Center

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

NHA000205 Issued in GA

Legal business name

PARKWOOD DEVELOPMENTAL CENTER

Practice address

1501 N Lee St
Valdosta, GA 31602-3309

Phone

(229) 242-6268

Fax

(229) 242-5845

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Charles O Templeton Jr.

Title

Administrator

Phone

(229) 242-6268

Specialties & licenses 1

Addresses

Tax ID family

Lowndes County Health Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lowndes County Health Services LLC

  • Intellectual Disabilities Intermediate Care Facility
  • Valdosta, GA
  • NPI 1316994833
  NPD tax ID

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306983051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N LEE ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316023309",
            "telephone_number": "229-242-6268",
            "fax_number": "229-242-5845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N LEE ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316023309",
            "telephone_number": "229-242-6268",
            "fax_number": "229-242-5845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWOOD DEVELOPMENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TEMPLETON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "229-242-6268",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "GA",
            "license": "NHA000205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Keith Parker, M.D.
• Emaleigh Parker
• Jayme Erin Parker, DO
• Leslie S Parker, O.T.
• Patrick Michael Parker, D.O.
• Charles E Parramore, LPC
• Deborah Faye Parris, LCSW
• Jon Daniel Parris, LPC
• Parrott Medical Clinic PC
• Jonathan R Parrott, MD

• Intellectual Disabilities Intermediate Care Facility in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Intellectual Disabilities Intermediate Care Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.