Individual provider Active NPI

Alexander M Culbreth III, MD

  • Obstetrics & Gynecology Physician
  • Valdosta, GA
National Provider Identifier
1447336185
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036951 Issued in GA
Practice address
220 Northside Drive
Valdosta, GA 31602
Phone
(229) 241-2800
Fax
(229) 241-0454
NPI assigned
Oct 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036951 GA Primary

Addresses

Primary practice location

220 Northside Drive
Valdosta, GA 31602

Mailing address

220 Northside Drive
Valdosta, GA 31602
Phone (229) 241-2800

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
I20110524000186 GA Practitioner - Obstetrics/Gynecology 5799683850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Mercer University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southern OB GYN Associates P CGroup PAC ID 8729059043, 17 clinicians

Practice addresses (Care Compare)

220 Northside Dr
Valdosta, GA 31602-1858
Phone (229) 241-2800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036951GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern OB GYN Associates P C Obstetrics & Gynecology CurrentSince May 6, 1996 Accepting new patients
Southern OB GYN Ambulatory Surgery Center, Inc Past Accepting new patients
South Georgia Medical Center Inc Past Accepting new patients
Hospital Authority of Valdosta and Lowndes County Georgia Past Accepting new patients

Locations

341 Connell Rd
Valdosta, GA 31602
Phone (229) 241-2800

220 Northside Dr
Valdosta, GA 31602
Phone (229) 241-2800

Interoperability endpoints

  • Direct secure messaging: alexander.culbreth@gadirect.net
  • Direct secure messaging: alexanderculbreth@sobgyn.allscriptsdirect.net

Organizations & group practices 4

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447336185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 NORTHSIDE DRIVE",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "31602",
            "telephone_number": "229-241-2800",
            "fax_number": "229-241-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 NORTHSIDE DRIVE",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "31602",
            "telephone_number": "229-241-2800",
            "fax_number": "229-241-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULBRETH",
        "first_name": "ALEXANDER",
        "middle_name": "M",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "036951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.