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WAYCROSS VA CBOC
NPI 1407263452
Clinic/Center - VA in Waycross, GA

Active since July 22, 2014
515B CITY BOULEVARD, WAYCROSS, GA 31501(866) 793-4591 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Waycross Va Cboc NPPES

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

WAYCROSS VA CBOC (NPI 1407263452) is a healthcare organization registered as a va in Waycross, Georgia and active in the NPI registry since July 2014. The organization lists Erin Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1407263452
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameGAINESVILLE VAMC
Location Address515B CITY BOULEVARDWaycross, GA 31501-8016
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 DateJuly 22, 2014
Last NPPES UpdateMarch 28, 2023
NPPES CertifiedMarch 28, 2023
✔ NPI 1407263452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
515B CITY BOULEVARD, Waycross, GA 31501
Open in Google Maps ↗

Other Names 1

Other NameWaycross Va Cboc

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 11D2009598

Waycross VA Clinic · Waycross, GA
Expired · Sep 30, 2026
CLIA Number11D2009598
Laboratory TypeCommunity Clinic
Certificate Effective DateJuly 8, 2010
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorRobert W. Allan
Laboratory Phone(202) 111-1111
Laboratory LocationWaycross VA Clinic515B City Boulevard, Waycross, GA 31501
CLIA data matches this NPI record on: Address
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES

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

MR. ANTHONY JOSEPH WALTERS CLINICAL SOCIAL WORK
Social Worker (Clinical)
515B CITY BOULEVARD, WAYCROSS VA OUTREACH CLINIC
WAYCROSS, GA 31501
Ware County (912) 279-4400

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 1407263452. It was assigned to this organization in the NPPES registry on July 22, 2014. The provider is also known as Waycross VA Cboc.

Where is Gainesville Vamc located?

Gainesville Vamc is located at 515B City Boulevard, Waycross, GA 31501. 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.