Active NPI
Private Healthcare Facilities
- Birthing Clinic/Center
- Valdosta, GA
National Provider Identifier
1477201739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Birthing Clinic/Center
- Legal business name
- PRIVATE HEALTHCARE FACILITIES
- Practice address
- 3338 Country Club Rd
Valdosta, GA 31605-1044 - Phone
- (866) 996-2340
- Fax
- (866) 399-0991
- NPI assigned
- Mar 16, 2022
- Organization subpart
- Yes
- Parent organization
- PRIVATE HEALTHCARE FACILITIES
Authorized official
NPPES NPI Registry- Name
- Priscilla Hollingsworth
- Title
- Office Staff
- Phone
- (866) 996-2340
Corporate family (same tax ID) 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Birthing Clinic/Center
- Tucker, GA
- NPI 1396225272
-
- Birthing Clinic/Center
- Savannah, GA
- NPI 1811636160
National Provider Directory
National Provider Directory- Tax ID family
- Private Healthcare Facilities
- Part of
- Private Healthcare Facilities
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Birthing Clinic/Center | 261QB0400X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3338 Country Club Rd
Valdosta, GA 31605-1044
Mailing address
902 Kitty Hawk Rd # 170487
Universal City, TX 78148-3825
Phone (866) 996-2340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 22, 2024.
{
"created_epoch": "1647388800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734825600000",
"number": "1477201739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 KITTY HAWK RD # 170487",
"city": "UNIVERSAL CITY",
"state": "TX",
"postal_code": "781483825",
"telephone_number": "866-996-2340",
"fax_number": "888-329-2091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3338 COUNTRY CLUB RD",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316051044",
"telephone_number": "866-996-2340",
"fax_number": "866-399-0991"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIVATE HEALTHCARE FACILITIES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PRIVATE HEALTHCARE FACILITIES",
"enumeration_date": "2022-03-16",
"last_updated": "2024-12-22",
"certification_date": "2024-12-22",
"status": "A",
"authorized_official_last_name": "HOLLINGSWORTH",
"authorized_official_first_name": "PRISCILLA",
"authorized_official_title_or_position": "OFFICE STAFF",
"authorized_official_telephone_number": "866-996-2340"
},
"taxonomies": [
{
"code": "261QB0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Birthing",
"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 Dec 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.