Individual provider Active NPI

Mark A Corbitt, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Valdosta, GA
National Provider Identifier
1780624445
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
047073 Issued in GA
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251205003056 GA Practitioner - Thoracic Surgery 5991691222 Reassigns benefits to 3 organizations

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
Southland Emergency Medical Services Consolidated, LLCGroup PAC ID 4183871320, 48 clinicians
Southland Cochran Emergency Medical Services LLCGroup PAC ID 9638398027, 17 clinicians
Altea Medical Georgia PCGroup PAC ID 2466973516, 3 clinicians

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

LicenseStateTypeSpecialty
047073GAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Emergency Medical Services Consolidated, LLC CurrentSince Nov 1, 2025 Accepting new patients
Southland Cochran Emergency Medical Services, LLC CurrentSince Nov 1, 2025 Accepting new patients
Southland Dodge Emergency Medical Services, LLC CurrentSince Nov 1, 2025 Accepting new patients
Dr. Mark a. Corbiit M.D. P.C. Thoracic Surgery (Cardiothoracic Vascular Surgery) PastSince Aug 1, 1999 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.