Active NPI
Mark A Corbitt, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Valdosta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 047073
- Practice address
- 104 W Northside Dr
Valdosta, GA 31602-1713 - Phone
- (229) 333-0300
- Fax
- (229) 333-0962
- NPI assigned
- Jun 8, 2006
- Last updated
- Nov 7, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 047073 | GA | Primary |
Addresses
Primary practice location
104 W Northside Dr
Valdosta, GA 31602-1713
Mailing address
104 W Northside Dr
Valdosta, GA 31602-1713
Phone (229) 333-0300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
145 E Peacock St
Cochran, GA 31014-7846
Phone (229) 200-4950
411 Pine St
Sylvania, GA 30467-2035
Phone (912) 564-2015
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047073 | GA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southland Emergency Medical Services Consolidated, LLC | Current | Accepting new patients | |
| Southland Cochran Emergency Medical Services, LLC | Current | Accepting new patients | |
| Southland Dodge Emergency Medical Services, LLC | Current | Accepting new patients | |
| Dr. Mark a. Corbiit M.D. P.C. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
| Hospital Authority of Valdosta and Lowndes County, Georgia | Past | Accepting new patients |
Locations
145 E Peacock St
Cochran, GA 31014
Phone (229) 200-4950
901 Griffin Ave
Eastman, GA 31023
Phone (478) 374-4000
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Cocharan, GA
- NPI 1205241395
-
- Hospitalist Physician
- Cochran, GA
- NPI 1033464391
-
- Emergency Medicine Physician
- Eastman, GA
- NPI 1851958607
-
- Geriatric Medicine (Internal Medicine) Physician
- Sylvania, GA
- NPI 1407692452
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Valdosta, GA
- NPI 1053591008
-
- Ambulance
- Valdosta, GA
- NPI 1558141671
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba SGMC Berrien Campus
- General Acute Care Hospital
- Nashville, GA
- NPI 1689440091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194393600000",
"number": "1780624445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 W NORTHSIDE DR",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316021713",
"telephone_number": "229-333-0300",
"fax_number": "229-333-0962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 W NORTHSIDE DR",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316021713",
"telephone_number": "229-333-0300",
"fax_number": "229-333-0962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORBITT",
"first_name": "MARK",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2007-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "GA",
"license": "047073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.