Valdosta Children's Healthcare Center ,LLC

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

VALDOSTA CHILDREN'S HEALTHCARE CENTER ,LLC

Practice address

105 W Cranford Ave
Valdosta, GA 31602-2930

Phone

(229) 247-7350

Fax

(229) 242-1730

NPI assigned

Aug 3, 2006

Last updated

Sep 6, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jasbir S Gill, MDNPI 1982653556

Title

President

Phone

(229) 247-7350

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jasbir S Gill, M.D

  • Pediatric Adolescent Medicine Physician
  • Valdosta, GA
  • NPI 1982653556
  Authorized official Same address or phone
• Thomas L Anderson, M.D.

  • Pediatric Adolescent Medicine Physician
  • Valdosta, GA
  • NPI 1033169321
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315267200000",
    "number": "1407864770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W CRANFORD AVE",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022930",
            "telephone_number": "229-247-7350",
            "fax_number": "229-242-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W CRANFORD AVE",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022930",
            "telephone_number": "229-247-7350",
            "fax_number": "229-242-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALDOSTA CHILDREN'S HEALTHCARE CENTER ,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2011-09-06",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "JASBIR",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-247-7350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valdosta Allergy, Asthma, & Immunology, PC
• Valdosta Anesthesia Associates, P.C.
• Valdosta Blood and Cancer Center
• Valdosta Center for Cosmetic Dentistry, Inc (North Valdosta Dental Care)
• Valdosta Center for Sleep Apnea Snoring & TMJ LLC
• Valdosta Chiropractic & Rehab, LLC
• Valdosta City Board of Education
• Valdosta Dental Associates
• Valdosta Endoscopy Center, LLC
• Valdosta Family Dentistry

• Pediatric Adolescent Medicine Physician in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Pediatric Adolescent Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; 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.