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FVSUSPORTS MEDICINE
NPI 1457737769
Internal Medicine in Fort Valley, GA

Active since August 10, 2015
1005 STATE UNIVERSITY DR, FORT VALLEY, GA 31030(478) 825-6195 Get Directions Write a Review

NPPES record last updated: August 10, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fvsusports Medicine NPPES

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

FVSUSPORTS MEDICINE (NPI 1457737769) is a healthcare organization registered as an internal medicine in Fort Valley, Georgia and active in the NPI registry since August 2015. The organization lists Mouzon Bass, Agent, as its authorized official.

NPPES Registry Identity

NPI1457737769
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameFORT VALLEY STATE UNIVERSITY
Location Address1005 STATE UNIVERSITY DRFort Valley, GA 31030-4313
Mailing AddressPo Box 650850Dallas, TX 75265-0850 · (800) 555-9073 · Fax (972) 367-3452
Phone(478) 825-6195
Organization SubpartNo
Authorized OfficialMouzon BassAgent · (972) 367-4845
Enumeration DateAugust 10, 2015
✔ NPI 1457737769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Sports MedicineTaxonomy 207RS0010X
1005 STATE UNIVERSITY DR, Fort Valley, GA 31030
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Other Names 1

Doing Business AsFvsusports Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

HEALTH SERVICES OF CENTRAL GEORGIA, INC
Clinic/Center
1005 STATE UNIVERSITY DR
FORT VALLEY, GA 31030
Peach County (478) 825-6278
MACON OCCUPATIONAL MEDICINE
Preventive Medicine (Occupational Medicine)
1005 STATE UNIVERSITY DR
FORT VALLEY, GA 31030
Peach County (478) 972-8900

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 Fort Valley State University's NPI number?

The NPI number for Fort Valley State University is 1457737769. It was assigned to this organization in the NPPES registry on August 10, 2015. The provider is doing business as Fvsusports Medicine.

Where is Fort Valley State University located?

Fort Valley State University is located at 1005 State University Dr, Fort Valley, GA 31030. The listed phone number is (478) 825-6195.

What is Fort Valley State University's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Fort Valley State University was last updated on August 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.