NPIMap

Organization Active NPI

Lowndes County Health Services LLC

  • Intellectual Disabilities Intermediate Care Facility
  • Valdosta, GA
National Provider Identifier
1316994833
Registry record updated Aug 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
2-092-532 Issued in GA
Legal business name
LOWNDES COUNTY HEALTH SERVICES LLC
Practice address
1501 N Lee St
Valdosta, GA 31602-3309
Phone
(229) 242-6268
NPI assigned
May 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2009

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

Authorized official

Name
Mr. Neil L Pruitt Jr.
Title
Chairman and Ceo
Phone
(770) 279-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 2-092-532 GA Primary

Addresses

Primary practice location

1501 N Lee St
Valdosta, GA 31602-3309

Mailing address

211 E Doyle St
Toccoa, GA 30577-2960
Phone (706) 886-8493

Other identifiers 1

IdentifierTypeStateIssuer
00142348AMedicaidGA

Other names 1

  • Parkwood Development Center Doing business as

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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

{
    "created_epoch": "1148860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250812800000",
    "number": "1316994833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E DOYLE ST",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305772960",
            "telephone_number": "706-886-8493",
            "fax_number": "706-827-2048"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWNDES COUNTY HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-29",
        "last_updated": "2009-08-21",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHAIRMAN AND CEO",
        "authorized_official_telephone_number": "770-279-6200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "GA",
            "license": "2-092-532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00142348A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkwood Development Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 21, 2009; 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.