| Valdosta Gastroenterology Associates, Llc | |
|
410 Connell Rd Valdosta GA 31602-1407 | |
| (229) 244-1570 | |
| (229) 247-1084 |
| Full Name | Valdosta Gastroenterology Associates, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 410 Connell Rd, Valdosta, Georgia |
| Authorized Official Name and Position | Eric M Ward (PHYSICIAN) |
| Authorized Official Contact | 2292441570 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valdosta Gastroenterology Associates, Llc 410 Connell Rd Valdosta GA 31602-1407 Ph: (229) 244-1570 | Valdosta Gastroenterology Associates, Llc 410 Connell Rd Valdosta GA 31602-1407 Ph: (229) 244-1570 |
| NPI Number | 1114962255 |
|---|---|
| Provider Enumeration Date | 06/20/2006 |
| Last Update Date | 06/08/2012 |
| Medicare PECOS PAC ID | 3577540459 |
|---|---|
| Medicare Enrollment ID | O20040630000272 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114962255 | NPI | - | NPPES |
| 300036012A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Eric M Ward |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699703041 PECOS PAC ID: 0143207027 Enrollment ID: I20040630000216 |
| Provider Name | Kathryn C Watt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154446862 PECOS PAC ID: 0749386258 Enrollment ID: I20070430000406 |
| Provider Name | Carl Allen Woods |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174550727 PECOS PAC ID: 6103803903 Enrollment ID: I20120322000168 |
| Provider Name | Nathan Kelly Roberson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023532280 PECOS PAC ID: 6507122306 Enrollment ID: I20171110002426 |
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 | |
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 |