NPIMap

Individual provider Active NPI

Richard Ellet Bias, MD

  • Internal Medicine Physician
  • Valdosta, GA
National Provider Identifier
1518595339
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
90535 Issued in GA
Practice address
410 Connell Rd
Valdosta, GA 31602-1898
Phone
(229) 242-9565
NPI assigned
Mar 28, 2020
Last updated
Dec 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 90535 GA Primary

Addresses

Primary practice location

410 Connell Rd
Valdosta, GA 31602-1898

Mailing address

410 Connell Rd
Valdosta, GA 31602-1898
Phone (229) 242-9565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230125001505 GA Practitioner - Internal Medicine 0143645325 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SGMC Physician Network IncGroup PAC ID 4082036843, 128 clinicians
South Georgia Medical Center IncGroup PAC ID 1052764677, 58 clinicians

Practice addresses (Care Compare)

410 Connell Rd
Suite T
Valdosta, GA 31602-1899
Phone (229) 242-9565

604 E Park Ave
Valdosta, GA 31602-3060
Phone (229) 433-5260

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Authority of Valdosta and Lowndes County Georgia Current Accepting new patients
SGMC Affiliated Services LLC Current Accepting new patients
South Georgia Medical Center Inc Student in an Organized Health Care Education/Training Program CurrentSince Jun 1, 2024 Accepting new patients
South Georgia Medical Center Inc CurrentSince Jun 1, 2024 Accepting new patients
Hospital Authority of Valdosta and Lowndes County Georgia CurrentSince May 1, 2024 Accepting new patients
SGMC Physician Network Inc CurrentSince Jun 1, 2023 Accepting new patients
Hospital Authority of Valdosta and Lowndes County Georgia Current Accepting new patients
Hospital Authority of Valdosta and Lowndes County, Georgia CurrentSince May 1, 2024 Accepting new patients

Locations

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

410 Connell Rd
Valdosta, GA 31602
Phone (229) 244-1570

410 Connell Rd
Ste T
Valdosta, GA 31602
Phone (229) 242-9565

4256 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 242-1234

4280 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 433-7350

604 E Park Ave
Valdosta, GA 31602
Phone (229) 333-0277

Interoperability endpoints

  • Direct secure messaging: rbias70646@sgmc.gadirect.net

Organizations & group practices 8

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 6

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": "1585353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1518595339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 CONNELL RD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021898",
            "telephone_number": "229-242-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 CONNELL RD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021898",
            "telephone_number": "229-242-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIAS",
        "first_name": "RICHARD",
        "middle_name": "ELLET",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-28",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "90535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.