SOUTH GEORGIA CARDIOLOGY
NPI 1457377731
Specialist in Valdosta, GA

Q: What is South Georgia Cardiology's NPI number?

The NPI number for South Georgia Cardiology is 1457377731. It was assigned to this organization in the NPPES registry on July 13, 2006.

Q: What is South Georgia Cardiology's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since July 13, 2006

2301 N ASHLEY ST, VALDOSTA, GA 31602(229) 245-1000(229) 242-2788 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

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About South Georgia Cardiology NPPES

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

SOUTH GEORGIA CARDIOLOGY (NPI 1457377731) is a healthcare organization registered as a specialist in Valdosta, Georgia and active in the NPI registry since July 2006. The organization lists Terry Bruce Tri, Presedent, as its authorized official.

NPPES Registry Identity

NPI1457377731

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameSOUTH GEORGIA CARDIOLOGY

Location Address2301 N ASHLEY STValdosta, GA 31602-2620

Mailing Address2301 N Ashley StValdosta, GA 31602-2620 · (229) 245-1000 · Fax (229) 242-2788

Phone(229) 245-1000

Fax(229) 242-2788

Organization SubpartNo

Authorized OfficialTerry Bruce TriPresedent · (229) 245-1000

Enumeration DateJuly 13, 2006

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1457377731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in GA · 038991

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2301 N ASHLEY ST, Valdosta, GA 31602

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Other Identifiers 1

Medicaid00972353AGA

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

Other Providers at the Same Location NPPES 9

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

MARLON CHARLES NP

Nurse Practitioner (Family)