NPIMap

Organization Active NPI

Choice Family Medicine, PC

  • Primary Care Clinic/Center
  • Valdosta, GA
National Provider Identifier
1609087469
Registry record updated Feb 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
049332 Issued in GA
Legal business name
CHOICE FAMILY MEDICINE, PC
Practice address
201 Woodrow Wilson Drive
Valdosta, GA 31602
Phone
(229) 241-0041
Fax
(229) 241-0048
NPI assigned
May 24, 2007
Last updated
Feb 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2011

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

Authorized official

Name
Regina L Casey
Title
Office Manager
Phone
(229) 241-0041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 049332 GA Primary

Addresses

Primary practice location

201 Woodrow Wilson Drive
Valdosta, GA 31602

Mailing address

201 Woodrow Wilson Drive
Valdosta, GA 31602
Phone (229) 241-0041

National Provider Directory

National Provider Directory

Locations

2301 Bemiss Rd
Valdosta, GA 31602
Phone (229) 241-0011

Practitioners & affiliated clinicians

Practitioners 137

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.

View all 137

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297296000000",
    "number": "1609087469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 WOODROW WILSON DRIVE",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "31602",
            "telephone_number": "229-241-0041",
            "fax_number": "229-241-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 WOODROW WILSON DRIVE",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "31602",
            "telephone_number": "229-241-0041",
            "fax_number": "229-241-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE FAMILY MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2011-02-10",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "229-241-0041"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "049332",
            "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 Feb 10, 2011; 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.