SOUTHERN OB GYN ASSOCIATES P C
NPI 1801951454
Obstetrics & Gynecology in Valdosta, GA
- Organization
- Obstetrics & Gynecology
- CLIA Number: 11D0677774
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-24-2027
About SOUTHERN OB GYN ASSOCIATES P C
This page provides the complete NPI Profile along with additional information for Southern Ob Gyn Associates P C, a women's health care provider established in Valdosta, Georgia operating as a Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1801951454 assigned on December 2006. The practitioner's primary taxonomy code is 207V00000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. Southern Ob Gyn Associates P C operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Randy J Johnson (Administrator)
- NPI
- 1801951454 Verify this NPI
- Provider Name
- SOUTHERN OB GYN ASSOCIATES P C
- Entity Type
- Organization
- Location Address
- 220 NORTHSIDE DR VALDOSTA, GA 31602
- Location Phone
- (229) 241-2800
- Location Fax
- (229) 241-0454
- Mailing Address
- 220 NORTHSIDE DR VALDOSTA, GA 31602
- Mailing Phone
- (229) 241-2800
- Mailing Fax
- (229) 241-0454
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-26-2006
- Last Update Date
- 06-18-2010
- Code Navigator
Women's health care providers like Southern Ob Gyn Associates P C treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
Location Map
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
Obstetrics & Gynecology
- Taxonomy Code
- 207V00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| GRP836 | MEDICARE ID-TYPE UNSPECIFIED (04) | GA | GRP NUMBER FOR MEDICARE |
| 300020233A | MEDICAID (05) | GA | |
| 300020233B | MEDICAID (05) | GA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D0677774
- Facility Type
- Physician Office
- Certificate Effective Date
- July 25, 2025
- Certificate Expiration Date
- July 24, 2027
- Laboratory Director
- THOMAS H. MOSELEY JR MD
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Southern Ob Gyn Associates P C after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801951454, enumerated as an "organization" on December 26, 2006.
The provider is located at 220 NORTHSIDE DR VALDOSTA, GA 31602 and the phone number is (229) 241-2800.
Obstetrics & Gynecology with taxonomy code 207V00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
