Individual provider Active NPI

Heather Whitney Eldridge, FNP

  • Family Nurse Practitioner
  • Valdosta, GA
National Provider Identifier
1811474828
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN229032 Issued in GA
Practice address
200 Georgia Ave
Valdosta, GA 31602-3843
Phone
(229) 333-5886
NPI assigned
Jul 23, 2018
Last updated
Aug 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN229032 GA Primary

Addresses

Primary practice location

200 Georgia Ave
Valdosta, GA 31602-3843

Mailing address

4872 Brown Cat Cir
Hahira, GA 31632-2673
Phone (417) 499-9784

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190327000934 GA Practitioner - Nurse Practitioner 4183964216 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SGMC Physician Network IncGroup PAC ID 4082036843, 128 clinicians
Southland Behavioral Health Services LLCGroup PAC ID 8224469085, 9 clinicians

Practice addresses (Care Compare)

2109 N Patterson St
Suite B
Valdosta, GA 31602-2577
Phone (229) 433-7473

2209 Pineview Dr
Valdosta, GA 31602-7316
Phone (229) 236-0831

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SGMC Affiliated Services LLC Current Accepting new patients
SGMC Physician Network Inc CurrentSince Aug 1, 2025 Accepting new patients
SGMP Southland LLC CurrentSince Oct 3, 2018 Accepting new patients
Choice Family Medicine, PC Current Accepting new patients
Southland Behavioral Health Services LLC CurrentSince May 1, 2020 Accepting new patients

Locations

100 S Madison St
Thomasville, GA 31792
Phone (229) 221-9552

201 Woodrow Wilson Dr
Valdosta, GA 31602
Phone (229) 241-0041

2109 N Patterson St
Ste B
Valdosta, GA 31602
Phone (229) 232-4833

2209 Pineview Dr
Valdosta, GA 31602
Phone (229) 247-4357

2217 Pineview Dr
Valdosta, GA 31602
Phone (229) 247-4357

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

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

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.

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": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1811474828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4872 BROWN CAT CIR",
            "city": "HAHIRA",
            "state": "GA",
            "postal_code": "316322673",
            "telephone_number": "417-499-9784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GEORGIA AVE",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316023843",
            "telephone_number": "229-333-5886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDRIDGE",
        "first_name": "HEATHER",
        "middle_name": "WHITNEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN229032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.