| Vipcare | |
|
353 Northside Dr Valdosta GA 31602-1861 | |
| (229) 588-8042 | |
| (229) 588-8044 |
| Full Name | Vipcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 353 Northside Dr, Valdosta, Georgia |
| Authorized Official Name and Position | Sriram Sundaramoorthy (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Contact | 8134445838 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vipcare 601 S Harbour Island Blvd Ste 200 Tampa FL 33602-5925 Ph: (813) 444-5838 | Vipcare 353 Northside Dr Valdosta GA 31602-1861 Ph: (229) 588-8042 |
| NPI Number | 1396527321 |
|---|---|
| Provider Enumeration Date | 10/16/2023 |
| Last Update Date | 03/15/2024 |
| Medicare PECOS PAC ID | 3870940448 |
|---|---|
| Medicare Enrollment ID | O20231103002880 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396527321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Mary F Dailey Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568480226 PECOS PAC ID: 5294710935 Enrollment ID: I20040618000677 |
| Provider Name | Marvin Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700838232 PECOS PAC ID: 6103854609 Enrollment ID: I20050727000076 |
| Provider Name | Candace Mychelle Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629407549 PECOS PAC ID: 6305072083 Enrollment ID: I20131203000086 |
| Provider Name | Mashanda T Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174816383 PECOS PAC ID: 5698903334 Enrollment ID: I20140102000748 |
| Provider Name | Leslie M. Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861884512 PECOS PAC ID: 9830282193 Enrollment ID: I20150428000071 |
| Provider Name | Leila Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740728690 PECOS PAC ID: 7012292543 Enrollment ID: I20170324002043 |
| Provider Name | Donna E Allison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679061949 PECOS PAC ID: 0143575068 Enrollment ID: I20180618002715 |
| Provider Name | Jennifer D Gibbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902238769 PECOS PAC ID: 4789906942 Enrollment ID: I20200413001157 |
| Provider Name | Robyn Jamese Stiff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942649785 PECOS PAC ID: 0042541658 Enrollment ID: I20200818003641 |
| Provider Name | Stephanie L Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831784065 PECOS PAC ID: 4082021324 Enrollment ID: I20210401001801 |
| Provider Name | Hannah Cheek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316573934 PECOS PAC ID: 6608264916 Enrollment ID: I20211019001158 |
| Provider Name | Tia M Gable |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629671342 PECOS PAC ID: 2264817634 Enrollment ID: I20220921001710 |
| Provider Name | Jennifer L Ashley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174243943 PECOS PAC ID: 4082087226 Enrollment ID: I20230308002541 |
Joseph S Thomas M D Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Connell Rd, Ste T, Valdosta, GA 31602 Phone: 229-242-9565 Fax: 229-242-1725 | |
Care Medical Center Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2804 N Oak St, Suite C, Valdosta, GA 31602 Phone: 229-241-8925 Fax: 229-241-7672 | |
Griner Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3301 N Oak Street Ext, Valdosta, GA 31605 Phone: 229-242-6061 Fax: 229-242-6151 | |
Valdosta Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3300 Greystone Way, Valdosta, GA 31605 Phone: 229-247-7700 | |
Valdosta Gastroenterology Associates, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 410 Connell Rd, Valdosta, GA 31602 Phone: 229-244-1570 Fax: 229-247-1084 | |
Partnership Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Griffin Ave, Valdosta, GA 31601 Phone: 229-245-0020 Fax: 229-245-9855 | |
Bennett P Hogan Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 117 W Northside Dr, Valdosta, GA 31602 Phone: 229-333-0616 Fax: 229-333-0647 |