Individual provider Active NPI

Brian S Chadwick, MD

  • Obstetrics & Gynecology Physician
  • Valdosta, GA
National Provider Identifier
1336152230
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
043575 Issued in GA
Practice address
2125 Pinecliff Dr
Valdosta, GA 31602-2239
Phone
(706) 812-2229
Fax
(706) 882-6455
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 43575 GA
Gynecology Physician 207VG0400X 043575 GA
Obstetrics & Gynecology Physician 207V00000X 043575 GA Primary
General Practice Physician 208D00000X 43575 GA
Occupational Medicine Clinic/Center 261QX0100X 43575 GA

Addresses

Primary practice location

2125 Pinecliff Dr
Valdosta, GA 31602-2239

Mailing address

2125 Pinecliff Dr
Valdosta, GA 31602-2239
Phone (064) 025-5097

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060830000310 GA Practitioner - Obstetrics/Gynecology 4385648567 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43575GAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vohra Wound Physicians of FL, LLC General Practice CurrentSince Oct 27, 2025 Accepting new patients
Theoria Medical CurrentSince May 12, 2024 Accepting new patients
Roberta Operator LLC Past Accepting new patients
Coliseum Drive Associates LLC Past Accepting new patients
Vohra Wound Physicians of FL, LLC Past Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Harborview Tifton, LLC Past Accepting new patients
Presbyterian Home, Quitman, Inc. Past Accepting new patients
Twin View Operator LLC Past Accepting new patients

Locations

604 N Camellia Blvd
Fort Valley, GA 31030
Phone (478) 355-3000

100 Bull St
Ste 200
Savannah, GA 31401
Phone (770) 478-3013

7300 Lester Rd
Union City, GA 30291
Phone (770) 703-2604

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

Organizations & group practices 10

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1336152230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 PINECLIFF DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022239",
            "telephone_number": "064-025-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 PINECLIFF DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022239",
            "telephone_number": "706-812-2229",
            "fax_number": "706-882-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHADWICK",
        "first_name": "BRIAN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "GA",
            "license": "43575",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "GA",
            "license": "043575",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "043575",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "43575",
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "GA",
            "license": "43575",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.