Organization Active NPI

Surgical Associates of Valdosta, P.C.

  • Vascular Surgery Physician
  • Valdosta, GA
National Provider Identifier
1891768917
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
SURGICAL ASSOCIATES OF VALDOSTA, P.C.
Practice address
2704 N Oak St
BLDG F
Valdosta, GA 31602-1744
Phone
(229) 242-4996
Fax
(229) 242-2306
NPI assigned
Feb 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2010

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

Authorized official

Name
Dr. David Keith Parker, M.D.
Title
MD/Officer
Phone
(229) 242-4996

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X GA
Vascular Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2086S0129X GA Primary

Addresses

Primary practice location

2704 N Oak St
BLDG F
Valdosta, GA 31602-1744

Mailing address

2704 N Oak St
BLDG F
Valdosta, GA 31602-1744
Phone (229) 242-4996

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263945600000",
    "number": "1891768917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 N OAK ST",
            "address_2": "BLDG F",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021744",
            "telephone_number": "229-242-4996",
            "fax_number": "229-242-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 N OAK ST",
            "address_2": "BLDG F",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021744",
            "telephone_number": "229-242-4996",
            "fax_number": "229-242-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSOCIATES OF VALDOSTA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2010-01-20",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "MD/OFFICER",
        "authorized_official_telephone_number": "229-242-4996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; 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.