Lowndes County Ambulatory Surgical Center

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

License

092121 Issued in GA

Legal business name

LOWNDES COUNTY AMBULATORY SURGICAL CENTER

Practice address

3207 Country Club Dr
Valdosta, GA 31605-1029

Phone

(229) 242-8480

Fax

(229) 247-7539

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Michael Joseph Young, MBA

Title

Administrator

Phone

(229) 242-8480

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Edward John Fricker, MD

  • Gastroenterology Physician
  • Valdosta, GA
  • NPI 1316933823
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1700943958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3207 COUNTRY CLUB DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316051029",
            "telephone_number": "229-242-8480",
            "fax_number": "229-247-7539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3207 COUNTRY CLUB DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316051029",
            "telephone_number": "229-242-8480",
            "fax_number": "229-247-7539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWNDES COUNTY AMBULATORY SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "229-242-8480",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "GA",
            "license": "092121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shalonda Lowe, BSW
• Tyler Stephen Lowe, LAT, ATC
• Kelly Lowery, DNP, FNP-BC
• Lacey L Lowery, MED, CCC-SLP
• Lowndes Advocacy Resource Center, Inc
• Lowndes County Health Services LLC
• Lowndes County Health Services LLC
• Lowndes County Health Services, LLC
• Lowndes County Health Services, LLC
• Lowndes County Health Services, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.