SOUTH GEORGIA MEDICAL CENTER
NPI 1831171867
Pharmacy in Valdosta, GA

Active since November 16, 2005
2501 NORTH PATTERSON STREET, VALDOSTA, GA 31603(229) 259-4869(229) 259-4872 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 7, 2023, Aug 22, 2020 (2 updates tracked since 2020).

  • Organization
  • Pharmacy

About SOUTH GEORGIA MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for South Georgia Medical Center, a provider established in Valdosta, Georgia operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1831171867 assigned on November 2005. The practitioner's primary taxonomy code is 333600000X with license number PHRE006396 (GA). The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Mr. William M. Brannen R.ph. (Director Of Pharmacy)

NPI
1831171867 Verify this NPI
Provider Name
SOUTH GEORGIA MEDICAL CENTER
Entity Type
Organization
Location Address
2501 NORTH PATTERSON STREET VALDOSTA, GA 31603
Location Phone
(229) 259-4869
Location Fax
(229) 259-4872
Mailing Address
2501 NORTH PATTERSON STREET VALDOSTA, GA 31603
Mailing Phone
(229) 259-4869
Mailing Fax
(229) 259-4872
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-16-2005
Last Update Date
03-07-2023
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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

Pharmacy

Taxonomy Code
333600000X
Type
Suppliers
License No.
PHRE006396
License State
GA
Taxonomy Description
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

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.

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

MR. WILLIAM M. BRANNEN R.PH.

Authorized Official Title
DIRECTOR OF PHARMACY
Authorized Official Phone
(229) 259-4869

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
PHRE006396OTHER (01)GAPHARMACY LICENSE #

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Pharmacy
2501 NORTH PATTERSON STREET
VALDOSTA, GA 31603

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831171867, enumerated as an "organization" on November 16, 2005.

The provider is located at 2501 NORTH PATTERSON STREET VALDOSTA, GA 31603 and the phone number is (229) 259-4869.

Pharmacy with taxonomy code 333600000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.