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VALDOSTA VA CBOC
NPI 1306886791
Clinic/Center - VA in Valdosta, GA

Active since June 07, 2006
348 ENTERPRISE DR STE B, VALDOSTA, GA 31601(866) 793-4591 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 28, 2023, Nov 3, 2020 (2 updates tracked since 2020).

About Valdosta Va Cboc NPPES

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

VALDOSTA VA CBOC (NPI 1306886791) is a healthcare organization registered as a va in Valdosta, Georgia and active in the NPI registry since June 2006. The organization lists Erin Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1306886791
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameGAINESVILLE VAMC
Location Address348 ENTERPRISE DR STE BValdosta, GA 31601-5169
Mailing AddressPo Box 94468Cleveland, OH 44101-4468 · (866) 793-4591
Phone(866) 793-4591
Organization SubpartNo
Authorized OfficialErin PotterNpi Team Member · (202) 382-2579
Enumeration DateJune 7, 2006
Last NPPES UpdateMarch 28, 20232 updates tracked since enumeration
NPPES CertifiedMarch 28, 2023
✔ NPI 1306886791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
348 ENTERPRISE DR STE B, Valdosta, GA 31601
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Other Names 2

Other NameValdosta Va Cboc
Other NameValdosta Va Clinic

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RAYMOND AVERY MOODY III D.O.
Family Medicine
348 ENTERPRISE DR STE B
VALDOSTA, GA 31601
Lowndes County (229) 293-0132
PAMELA LEI OLIVER LMSW
Social Worker
348 ENTERPRISE DR STE B
VALDOSTA, GA 31601
Lowndes County (229) 316-2606
JESSICA DANIELS DPT
Physical Therapist
348 ENTERPRISE DR STE B
VALDOSTA, GA 31601
Lowndes County (229) 293-0132
DR. JAMES RUSSELL GRAY-COUCH PHD
Psychologist (Clinical)
348 ENTERPRISE DR STE B
VALDOSTA, GA 31601
Lowndes County (229) 293-0132
DR. NORMA C SAUNDERS MD
Psychiatry & Neurology (Psychiatry)
348 ENTERPRISE DR STE B
VALDOSTA, GA 31601
Lowndes County (229) 293-0132
DR. SARAH B. SHEVCHUK PSY.D.
Psychologist (Clinical)
348 ENTERPRISE DR STE B
VALDOSTA, GA 31601
Lowndes County (292) 930-1322
MRS. JENNIFER MARIE GRAHAM MS, RDN, CSP, LD/N
Dietitian, Registered
348 ENTERPRISE DR STE B
VALDOSTA, GA 31601
Lowndes County (904) 710-8714
EMILY BURTON PH.D.
Psychologist
348 ENTERPRISE DR STE B
VALDOSTA, GA 31601
Lowndes County (292) 316-2615

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 Gainesville Vamc's NPI number?

The NPI number for Gainesville Vamc is 1306886791. It was assigned to this organization in the NPPES registry on June 7, 2006. The provider is also known as Valdosta VA Cboc and Valdosta VA Clinic.

Where is Gainesville Vamc located?

Gainesville Vamc is located at 348 Enterprise Dr Ste B, Valdosta, GA 31601. The listed phone number is (866) 793-4591.

What is Gainesville Vamc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in VA, with taxonomy code 261QV0200X.

When was this NPI record last updated?

The NPPES record for Gainesville Vamc was last updated on March 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.