Organization Active NPI

North Oak Family Medicine LLC

  • Family Medicine Physician
  • Valdosta, GA
National Provider Identifier
1447976675
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NORTH OAK FAMILY MEDICINE LLC
Practice address
2718 N Oak St
Valdosta, GA 31602-1781
Phone
(229) 242-5145
Fax
(229) 253-8666
NPI assigned
Oct 19, 2022
Last updated
Nov 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Authorized official

Name
Timothy PittsNPI 1952361024
Title
Owner
Phone
(229) 242-5145

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

2718 N Oak St
Valdosta, GA 31602-1781

Mailing address

2718 N Oak St
Valdosta, GA 31602-1781
Phone (229) 242-5145

National Provider Directory

National Provider Directory
Tax ID family
North Oak Family Medicine2 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.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1447976675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2718 N OAK ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021781",
            "telephone_number": "229-242-5145",
            "fax_number": "229-253-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2718 N OAK ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021781",
            "telephone_number": "229-242-5145",
            "fax_number": "229-253-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH OAK FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "PITTS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-242-5145"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 29, 2022; 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.