Active NPI
Rose Horne, M.D.
- Internal Medicine Physician
- Valdosta, GA
National Provider Identifier
1477782233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 022563
- Practice address
- 1616 Norman Dr Ste B
Valdosta, GA 31601-7723 - Phone
- (229) 242-2999
- Fax
- (229) 242-2942
- NPI assigned
- Jul 14, 2009
- Last updated
- Apr 20, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 022563 | GA | Primary |
Addresses
Primary practice location
1616 Norman Dr Ste B
Valdosta, GA 31601-7723
Mailing address
800 Bunche Dr
Valdosta, GA 31601-6212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022563 | GA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271721600000",
"number": "1477782233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 BUNCHE DR",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316016212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 NORMAN DR STE B",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316017723",
"telephone_number": "229-242-2999",
"fax_number": "229-242-2942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORNE",
"first_name": "ROSE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-14",
"last_updated": "2010-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "022563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valdosta, GA
- Christine Hooker
- Catherine Lee Hoover, LCSW
- Megan Hoover
- Cameron Dillan Horne
- Katrina Terrell Horne, FNP
- Adrianne Horton
- Hospital Authority of Valdosta & Lowndes County, Ga (Greenleaf Center Pharmacy)
- Hospital Authority of Valdosta & Lowndes County, Ga
- Hospital Authority of Valdosta and Lowndes County Georgia (Greenleaf Center)
- Hospital Authority of Valdosta and Lowndes County Georgia (South Georgia Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.