VALDOSTA GASTROENTEROLOGY ASSOCIATES, LLC
NPI 1114962255
Internal Medicine - Gastroenterology in Valdosta, GA

Active since June 20, 2006
410 CONNELL RD, VALDOSTA, GA 31602(229) 244-1570(229) 247-1084 Get Directions Write a Review

NPPES record last updated: June 8, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Valdosta Gastroenterology Associates, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VALDOSTA GASTROENTEROLOGY ASSOCIATES, LLC (NPI 1114962255) is a healthcare organization registered as a gastroenterology in Valdosta, Georgia and active in the NPI registry since June 2006. The organization lists Eric M Ward, Physician, as its authorized official.

NPPES Registry Identity

NPI1114962255
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameVALDOSTA GASTROENTEROLOGY ASSOCIATES, LLC
Location Address410 CONNELL RDValdosta, GA 31602-1407
Mailing Address410 Connell RdValdosta, GA 31602-1407 · (229) 244-1570 · Fax (229) 247-1084
Fax(229) 247-1084
Organization SubpartNo
Authorized OfficialEric M WardPhysician · (229) 244-1570
Enumeration DateJune 20, 2006
Last NPPES UpdateJune 8, 2012
✔ NPI 1114962255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
410 CONNELL RD, Valdosta, GA 31602

Other Identifiers 2

Medicare ID-Type UnspecifiedGRP4571GA
Medicaid300036012AGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Valdosta Gastroenterology Associates, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Valdosta Gastroenterology Associates, LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Gastroenterology
NPI 1699703041
410 CONNELL RD
Valdosta, GA 31602
(229) 244-1570
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1154446862
410 CONNELL RD
Valdosta, GA 31602
(229) 244-4720
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1023532280
4340 KINGS WAY
Valdosta, GA 31602
(229) 333-9736
✔ PECOS✔ Accepts Medicare3.1 mi
Gastroenterology
NPI 1174550727
801 E 6TH ST STE 501
Panama City, FL 32401
(850) 804-3040
✔ PECOS✔ Accepts Medicare149 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Valdosta Gastroenterology Associates, LLC's NPI number?

The NPI number for Valdosta Gastroenterology Associates, LLC is 1114962255. It was assigned to this organization in the NPPES registry on June 20, 2006.

Where is Valdosta Gastroenterology Associates, LLC located?

Valdosta Gastroenterology Associates, LLC is located at 410 Connell Rd, Valdosta, GA 31602. The listed phone number is (229) 244-1570.

What is Valdosta Gastroenterology Associates, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Valdosta Gastroenterology Associates, LLC enrolled in Medicare?

Yes. Valdosta Gastroenterology Associates, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Valdosta Gastroenterology Associates, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Valdosta Gastroenterology Associates, LLC, in Gastroenterology and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Valdosta Gastroenterology Associates, LLC was last updated on June 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.