Pathology Associates of Valdosta, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

J307285 Issued in GA

Legal business name

PATHOLOGY ASSOCIATES OF VALDOSTA, P.C.

Practice address

2001 N Patterson St
Valdosta, GA 31602-2944

Phone

(229) 245-0447

Fax

(229) 245-0448

NPI assigned

May 24, 2006

Organization subpart

No

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

Authorized official

Name

John William Hanson, M.D.

Title

President

Phone

(229) 245-0447

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Bonnie Vanschooneveld Hanson, M.D.

  • Specialist
  • Valdosta, GA
  • NPI 1518187277
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1629023098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3287",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316043287",
            "telephone_number": "229-245-0447",
            "fax_number": "229-245-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N PATTERSON ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022944",
            "telephone_number": "229-245-0447",
            "fax_number": "229-245-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHOLOGY ASSOCIATES OF VALDOSTA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-245-0447",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "J307285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WELLCARE",
            "identifier": "N357819",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CF4854",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nitin Rasikchandra Patel, M.D.
• Priyank M Patel, MD
• Riteshkumar H Patel
• Shila B Patel, M.D.
• Vishwa Patel
• Pathway to Hope Counseling Services, Inc.
• Julianna M Patrick, FNP-C
• Howard Andrew Patterson, LCSW
• Theresa Patterson
• Angela Patton

• Specialist in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.

Verify at the official NPI Registry.