Individual provider Active NPI

James C Eutzler, DO

  • Emergency Medicine Physician
  • Valdosta, GA
National Provider Identifier
1801887161
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
049729 Issued in GA
Practice address
520 Griffin Ave
Valdosta, GA 31601-6331
Phone
(229) 249-4010
Fax
(229) 249-4009
NPI assigned
Nov 4, 2005
Last updated
Apr 30, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 049729 GA Primary

Addresses

Primary practice location

520 Griffin Ave
Valdosta, GA 31601-6331

Mailing address

520 Griffin Avenue
Convenient Care South
Valdosta, GA 31601-2327
Phone (229) 249-4010

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
I20040406000253 GA Practitioner - Emergency Medicine 9931192986 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
SGMC Affiliated Services LLC Current Accepting new patients
SGMC Physician Network Inc Emergency Medicine CurrentSince Sep 1, 2020 Accepting new patients
Hospital Authority of Valdosta and Lowndes County Georgia Emergency Medicine Current Accepting new patients
Sun Coast Hospital Inc Past Accepting new patients
Largo Physician Group, LLC PastSince Nov 4, 2012 Accepting new patients

Locations

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

4280 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 433-7350

520 Griffin Ave
Valdosta, GA 31601
Phone (229) 245-0020

520 Griffin Ave
Ste B
Valdosta, GA 31601
Phone (229) 433-7350

Interoperability endpoints

  • Direct secure messaging: jeutzler6904@sgmc.gadirect.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1801887161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 GRIFFIN AVENUE",
            "address_2": "CONVENIENT CARE SOUTH",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316012327",
            "telephone_number": "229-249-4010",
            "fax_number": "229-249-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 GRIFFIN AVE",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316016331",
            "telephone_number": "229-249-4010",
            "fax_number": "229-249-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUTZLER",
        "first_name": "JAMES",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "049729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.