Hitham H Khalil, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

058261 Issued in GA

Practice address

2109 N Patterson St Ste B
Valdosta, GA 31602-2577

Phone

(229) 469-7271

Fax

(844) 662-3122

NPI assigned

Sep 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Neurosurgery

Education

Medical College of Ohio, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• SGMC Health Hospital, Valdosta, GA, CCN 110122
• SGMC Health Lanier Hospital, Lakeland, GA, CCN 111326
• SGMC Berrien Campus Hospital, Nashville, GA, CCN 110234

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Azalea Neuro and Spine Clinic PC

  • Neurological Surgery Physician
  • Valdosta, GA
  • NPI 1982085197
  Medicare reassignment NPD Authorized official
• Neurology, Neurosurgery, and Spine Clinic of South Georgia

  • Specialist
  • Valdosta, GA
  • NPI 1184781262
  Medicare reassignment NPD

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

• South Georgia Medical Center Inc

  • General Acute Care Hospital
  • Valdosta, GA
  • NPI 1144096553
  Care Compare affiliation
• South Georgia Medical Center Inc

  • Critical Access Hospital
  • Lakeland, GA
  • NPI 1215703632
  Care Compare affiliation
• South Georgia Medical Center Inc

  • General Acute Care Hospital
  • Nashville, GA
  • NPI 1689440091
  Care Compare affiliation

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489104000000",
    "number": "1821189408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 N PATTERSON ST STE B",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022577",
            "telephone_number": "229-469-7271",
            "fax_number": "844-662-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 N PATTERSON ST STE B",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022577",
            "telephone_number": "229-469-7271",
            "fax_number": "844-662-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALIL",
        "first_name": "HITHAM",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2017-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "GA",
            "license": "058261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "319783970A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenya R. Barnes, LMFT, LLC
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• Jennifer Kenyon, LCSW
• Nina Alice Keown, FNP
• Keystone Therapy Services
• Charmaine Kidd, FNP
• Kilby Family Dentistry, LLC
• Dustin Ross Kilby, D.M.D.
• Ashley Suzanne Kindoll, FNP-C
• Brittney King, M.ED., CCC-SLP

• Neurological Surgery Physician in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Neurological Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; 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.

Verify at the official NPI Registry.