George Roger Vaillant, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

002272 Issued in GA

Practice address

119 Steele Creek Dr
Midland, GA 31820-4597

Phone

(706) 544-9426

NPI assigned

May 24, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Inphynet Primary Care Physicians Southeast PC

  • Emergency Medicine Physician
  • Columbus, GA
  • NPI 1770521460
  NPD (past)
• U.S. Healthworks Medical Group of Georgia, Inc.

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Valencia, CA
  • NPI 1376523175
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942411038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 STEELE CREEK DR",
            "city": "MIDLAND",
            "state": "GA",
            "postal_code": "318204597",
            "telephone_number": "706-544-9426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 STEELE CREEK DR",
            "city": "MIDLAND",
            "state": "GA",
            "postal_code": "318204597",
            "telephone_number": "706-544-9426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAILLANT",
        "first_name": "GEORGE",
        "middle_name": "ROGER",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "002272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lizzie Yvette Thomas
• Andreka Thrash, RN
• Donna Trawick
• Try Therapy
• Kelli Bull Tzorin, LCSW
• Walgreen Co (Walgreens #18178)
• Lakeisha Laverne Walker
• Tina Webb
• Wheelcare Mobility, LLC
• Tiffany White

• Medical Physician Assistant in Midland, GA
• Providers in Midland, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.