South Georgia Health Group LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

041178 Issued in GA

Legal business name

SOUTH GEORGIA HEALTH GROUP LLC

Doing business as

South Georgia Health Group DME

Practice address

814 Northwood Park Dr
Valdosta, GA 31602-1398

Phone

(229) 259-0032

Fax

(229) 259-9941

NPI assigned

Jul 15, 2010

Organization subpart

No

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

Authorized official

Name

Douglas Moss, M.D.NPI 1679542781

Title

Managing Partner

Phone

(229) 259-0032

Specialties & licenses 1

Addresses

Other names 1

• South Georgia Health Group DME Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas Moss, MD

  • Internal Medicine Physician
  • Valdosta, GA
  • NPI 1679542781
  NPD (past) Authorized official

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386547200000",
    "number": "1609189943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 NORTHWOOD PARK DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021398",
            "telephone_number": "229-259-0032",
            "fax_number": "229-259-9941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 NORTHWOOD PARK DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021398",
            "telephone_number": "229-259-0032",
            "fax_number": "229-259-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH GEORGIA HEALTH GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-15",
        "last_updated": "2013-12-09",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "229-259-0032",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "041178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Georgia Health Group DME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• South Georgia CSB (Project Light)
• South Georgia Eye Partners PC
• South Georgia Eye Partners, PC
• South Georgia Family Medicine
• South Georgia Health Alliance Dba Hospice of South Georgia (Hospice of South Georgia)
• South Georgia Health Group LLC
• South Georgia Health Group, LLC
• South Georgia Medical Associates, PC
• South Georgia Medical Center
• South Georgia Medical Center

• Durable Medical Equipment & Medical Supplies in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.