Organization Active NPI

Valdosta Advanced Healing Inc

  • General Practice Physician
  • Valdosta, GA
National Provider Identifier
1538039292
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
VALDOSTA ADVANCED HEALING INC
Practice address
701 Baytree Rd Ste D
Valdosta, GA 31602-2881
Phone
(833) 381-6736
Fax
(833) 381-6628
NPI assigned
Nov 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Authorized official

Name
Amy A Chavez
Title
Vice President
Phone
(833) 381-6736

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

701 Baytree Rd Ste D
Valdosta, GA 31602-2881

Mailing address

8801 Ballentine St Ste 400
Overland Park, KS 66214-2082
Phone (833) 381-6736

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1762473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1538039292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 BALLENTINE ST STE 400",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662142082",
            "telephone_number": "833-381-6736",
            "fax_number": "833-381-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 BAYTREE RD STE D",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022881",
            "telephone_number": "833-381-6736",
            "fax_number": "833-381-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALDOSTA ADVANCED HEALING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-07",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "833-381-6736"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "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 5, 2025; 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.