NPIMap

Organization Active NPI

Valley Pediatrics

  • Primary Care Clinic/Center
  • Columbus, GA
National Provider Identifier
1639439631
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
67863 Issued in GA
Legal business name
VALLEY PEDIATRICS
Practice address
5555 Whittlesey Blvd
Columbus, GA 31909-7212
Phone
(706) 221-6116
Fax
(706) 221-6226
NPI assigned
May 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2012

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

Authorized official

Name
Mr. Ben Overby
Title
Administrator
Phone
(706) 221-6116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 67863 GA Primary

Addresses

Primary practice location

5555 Whittlesey Blvd
Columbus, GA 31909-7212

Mailing address

PO Box 9007
Columbus, GA 31908-9007
Phone (706) 221-6116

Other identifiers 1

IdentifierTypeStateIssuer
67863OtherGAGA MEDICAL LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Just US Kids Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337731200000",
    "number": "1639439631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9007",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319089007",
            "telephone_number": "706-221-6116",
            "fax_number": "706-221-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 WHITTLESEY BLVD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319097212",
            "telephone_number": "706-221-6116",
            "fax_number": "706-221-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-23",
        "last_updated": "2012-05-23",
        "status": "A",
        "authorized_official_last_name": "OVERBY",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "706-221-6116",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "67863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA MEDICAL LICENSE",
            "identifier": "67863",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; 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.