Valdosta Urgent Care LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

VALDOSTA URGENT CARE LLC

Practice address

415 Woodrow Wilson Dr
Valdosta, GA 31602-2628

Phone

(229) 253-0716

Fax

(229) 253-0718

NPI assigned

Jul 10, 2009

Last updated

Jul 10, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Douglas Moss, MD

Title

MD/Owner

Phone

(229) 253-0716

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247184000000",
    "number": "1871722900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 WOODROW WILSON DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022628",
            "telephone_number": "229-253-0716",
            "fax_number": "229-253-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 WOODROW WILSON DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022628",
            "telephone_number": "229-253-0716",
            "fax_number": "229-253-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALDOSTA URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-10",
        "last_updated": "2009-07-10",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "229-253-0716",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valdosta State Prison Regional Pharmacy
• Valdosta State University (VSU Student Health Center)
• Valdosta State University
• Valdosta State University (Valdosta State University Sports Medicine)
• Valdosta State University Student Health Services
• Valdosta Urological Associates
• Valdosta Womens Health Center PC
• Brandy R. Van Jura, FNP-C
• Shawn David Vandemark, M.D.
• Caryn Elizabeth Vandergriff, LPC

• Urgent Care Clinic/Center in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Urgent Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.