Voa Ambulatory Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

092165 Issued in GA

Legal business name

VOA AMBULATORY SURGERY CENTER

Practice address

3527 B North Valdosta Road
Valdosta, GA 31602

Phone

(229) 253-9336

Fax

(229) 253-9345

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John Kendrick, M.D.NPI 1164426136

Title

Medical Director

Phone

(229) 253-9336

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

Voa Ambulatory Surgery CenterCCN 11C0001152

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11118/brand/4/csg/1/fhir/r4

Practitioners 2

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

• John P Kendrick, MD

  • Orthopaedic Surgery Physician
  • Valdosta, GA
  • NPI 1164426136
  NPD Authorized official
• John E Gee, MD

  • Orthopaedic Surgery of the Spine Physician
  • Valdosta, GA
  • NPI 1972575983
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1689736118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3527B N VALDOSTA RD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021068",
            "telephone_number": "229-253-9336",
            "fax_number": "229-253-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3527 B NORTH VALDOSTA ROAD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "31602",
            "telephone_number": "229-253-9336",
            "fax_number": "229-253-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOA AMBULATORY SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "KENDRICK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "229-253-9336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": "092165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Velocity DX LLC
• Veteran Housing of America
• Lynze D. Vickers, LMFT
• Vital Inc.
• Deborah Melissa Vizcarrondo, LAMFT
• Allison Vogel, PA-C
• Paula Marie Von Der Heide, LAPC
• Christina E Vrandopulo, LMFT
• Iulian Vuc, NP-C
• Emily M. Wade, PT

• Ambulatory Surgical Clinic/Center in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Ambulatory Surgical Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.