NPIMap

Organization Active NPI

Valley Healthcare System

  • Federally Qualified Health Center (FQHC)
  • Columbus, GA
National Provider Identifier
1851924377
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
VALLEY HEALTHCARE SYSTEM
Practice address
1458 Benning Dr
Columbus, GA 31903-2200
Phone
(706) 322-9599
NPI assigned
Feb 13, 2020
Last updated
Aug 3, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
VALLEY HEALTHCARE SYSTEM, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Authorized official

Name
Brenda C Wilson
Title
Revenue Cycle Manager
Phone
(706) 322-9599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1458 Benning Dr
Columbus, GA 31903-2200

Mailing address

1600 Fort Benning Rd
Columbus, GA 31903-2834
Phone (706) 322-9599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040528000880 GA Part B Supplier - Clinic/Group Practice 8628988276 Receives reassigned benefits from 34 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Columbus, GA; Fortson, GA; Talbotton, GA

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Valley Healthcare System5 organizations share this tax ID, including this one
Part of
Valley Healthcare System

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1440 Benning Dr
BLDG 120
Columbus, GA 31903
Phone (706) 689-1331

1440 Benning Dr
Ste 120
Columbus, GA 31903
Phone (706) 689-1331

1458 Benning Dr
Columbus, GA 31903
Phone (706) 322-9599

3473 N Lumpkin Rd
Bldg C
Columbus, GA 31903
Phone (706) 689-1331

350 30th Ave
Columbus, GA 31903
Phone (706) 683-7816

45 Bartletts Ferry Rd
Fortson, GA 31808
Phone (706) 322-9599

1073 Woodland Hwy
#41N
Talbotton, GA 31827
Phone (706) 665-2585

Practitioners & affiliated clinicians

Practitioners 44

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596412800000",
    "number": "1851924377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 FORT BENNING RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319032834",
            "telephone_number": "706-322-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1458 BENNING DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319032200",
            "telephone_number": "706-322-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY HEALTHCARE SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VALLEY HEALTHCARE SYSTEM, INC",
        "enumeration_date": "2020-02-13",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "706-322-9599"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.