ST. MARYS VA CLINIC
NPI 1710137203
Clinic/Center - VA in Saint Marys, GA

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QV0200X and a focus in VA.

Active since September 22, 2008

205 LAKESHORE PT, SAINT MARYS, GA 31558(888) 263-1889 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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NPI Profile Information
Primary Taxonomy
Authorized Official
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
VA

About ST. MARYS VA CLINIC

This page provides the complete NPI Profile along with additional information for St. Marys Va Clinic, a provider established in Saint Marys, Georgia operating as a Clinic/center, focusing in va . The healthcare provider is registered in the NPI registry with number 1710137203 assigned on September 2008. The practitioner's primary taxonomy code is 261QV0200X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's other name is St. Marys Va Clinic. The authorized official of this NPI record is Erin Potter (Npi Team Member)

NPI: 1710137203 Verify this NPI
Provider Legal Name: GAINESVILLE VAMC
Other Organization Name: ST. MARYS VA CLINIC
Other Name Type: Other Name (5)
Entity Type: Organization
Location Address: 205 LAKESHORE PT SAINT MARYS, GA 31558
Location Phone: (888) 263-1889
Mailing Address: PO BOX 94468 CLEVELAND, OH 44101
Mailing Phone: (866) 793-4591
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 09-22-2008
Last Update Date: 03-28-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center VA
Taxonomy Code: 261QV0200X
Type: Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: ERIN POTTER
Authorized Official Title: NPI TEAM MEMBER
Authorized Official Phone: (202) 382-2579