SOUTH GEORGIA MEDICAL CENTER INC - NPI 1528049046

Q: What is South Georgia Medical Center Inc's NPI number?

The NPI number for South Georgia Medical Center Inc is 1528049046. It was assigned to this organization in the NPPES registry on November 10, 2005. The provider is doing business as Medical Center Pharmacy.

Q: What is South Georgia Medical Center Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

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About South Georgia Medical Center Inc NPPES

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

SOUTH GEORGIA MEDICAL CENTER INC (NPI 1528049046), doing business as Medical Center Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Valdosta, Georgia and active in the NPI registry since November 2005. The organization lists Julie W Hodges, Controller, as its authorized official.

NPPES Registry Identity

NPI1528049046

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameSOUTH GEORGIA MEDICAL CENTER INC

Location Address2501 N PATTERSON STValdosta, GA 31602-1735

Mailing AddressPo Box 1805Valdosta, GA 31603-1805 · (229) 433-7150 · Fax (229) 433-8416

Phone(229) 249-4144

Fax(229) 249-4145

Organization SubpartNo

Authorized OfficialJulie W HodgesController · (229) 259-4140

Enumeration DateNovember 10, 2005

Last NPPES UpdateSeptember 2, 20256 updates tracked since enumeration

NPPES CertifiedJanuary 31, 2025

✔ NPI 1528049046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedPharmacyTaxonomy 333600000X · License 008065 (GA)

Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X

2501 N PATTERSON ST, Valdosta, GA 31602

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Other Names 1

Doing Business AsMedical Center Pharmacy

Other Identifiers 3

Medicaid003225227AGA

Other008065GA · State License Number

Other1143510GA · Ncpdp Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

JOHN WILLIAM DEVINE MD

Radiology (Therapeutic Radiology)