Active NPI
Briccio Dizon Valdez, M.D.
- Psychiatry Physician
- Columbus, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 019353
- Practice address
- 3000 Schatulga Rd
Columbus, GA 31907-3117 - Phone
- (706) 568-5000
- NPI assigned
- Aug 8, 2006
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 019353 | GA | Primary |
Addresses
Primary practice location
3000 Schatulga Rd
Columbus, GA 31907-3117
Mailing address
6210 Flat Rock Rd
Apt. 6148 - B
Columbus, GA 31907-9212
Phone (706) 568-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019353 | Other | GA | STATE OF GA LICENSE |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenleaf Center, LLC | Current | Accepting new patients | |
| SGMP Southland LLC | Psychiatry | Current | Accepting new patients |
| Choice Family Medicine, PC | Current | Accepting new patients | |
| Georgia Pines Community Service Board | Current | Accepting new patients | |
| Georgia Department of Human Resources | Past | Accepting new patients | |
| Pathways Center for Behavioral and Developmental Growth | Past | Accepting new patients | |
| Pathways Center for Behavioral & Developmental Growth | Past | Accepting new patients |
Locations
116 W Thigpen Ave
Ste D
Lakeland, GA 31635
Phone (229) 482-8585
1102 Smith Ave
Ste K
Thomasville, GA 31792
Phone (912) 227-5468
1102 Smith Ave
Ste H
Thomasville, GA 31792
Phone (229) 225-5208
2217 Pineview Dr
Valdosta, GA 31602
Phone (229) 247-4357
201 Woodrow Wilson Dr
Valdosta, GA 31602
Phone (229) 241-0041
2209 Pineview Dr
Valdosta, GA 31602
Phone (229) 247-4357
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Thomasville, GA
- NPI 1366506958
-
- Psychiatric Hospital
- Valdosta, GA
- NPI 1538417753
-
- Psychiatry Physician
- Valdosta, GA
- NPI 1447695085
-
- Primary Care Clinic/Center
- Valdosta, GA
- NPI 1609087469
-
- Psychiatric Hospital
- Columbus, GA
- NPI 1144224767
-
- Community/Behavioral Health Agency
- Newnan, GA
- NPI 1407492846
-
- Community/Behavioral Health Agency
- Newnan, GA
- NPI 1013289255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801806443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6210 FLAT ROCK RD",
"address_2": "APT. 6148 - B",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319079212",
"telephone_number": "706-568-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 SCHATULGA RD",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319073117",
"telephone_number": "706-568-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALDEZ",
"first_name": "BRICCIO",
"middle_name": "DIZON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "019353",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF GA LICENSE",
"identifier": "019353",
"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 Jul 8, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.