AZALEA NEURO AND SPINE CLINIC PC
NPI 1982085197
Neurological Surgery in Valdosta, GA

Active since June 12, 2015
2109 N PATTERSON ST, VALDOSTA, GA 31602(229) 469-7271(844) 662-3122 Get Directions Write a Review

NPPES record last updated: November 2, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Azalea Neuro And Spine Clinic Pc NPPES

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

AZALEA NEURO AND SPINE CLINIC PC (NPI 1982085197) is a healthcare organization registered as a neurological surgery in Valdosta, Georgia and active in the NPI registry since June 2015. The organization lists Hitham Khalil, Owner, as its authorized official.

NPPES Registry Identity

NPI1982085197
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NameAZALEA NEURO AND SPINE CLINIC PC
Location Address2109 N PATTERSON STValdosta, GA 31602-2990
Mailing Address2109 N Patterson StValdosta, GA 31602-2990 · (229) 469-7271 · Fax (844) 662-3122
Fax(844) 662-3122
Organization SubpartNo
Authorized OfficialHitham KhalilOwner · (229) 469-7271
Enumeration DateJune 12, 2015
Last NPPES UpdateNovember 2, 2015
✔ NPI 1982085197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
2109 N PATTERSON ST, Valdosta, GA 31602

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Azalea Neuro And Spine Clinic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Azalea Neuro And Spine Clinic PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Neurosurgery
NPI 1821189408
2109 N PATTERSON ST STE B
Valdosta, GA 31602
(229) 469-7271
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Azalea Neuro And Spine Clinic PC's NPI number?

The NPI number for Azalea Neuro And Spine Clinic PC is 1982085197. It was assigned to this organization in the NPPES registry on June 12, 2015.

Where is Azalea Neuro And Spine Clinic PC located?

Azalea Neuro And Spine Clinic PC is located at 2109 N Patterson St, Valdosta, GA 31602. The listed phone number is (229) 469-7271.

What is Azalea Neuro And Spine Clinic PC's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Azalea Neuro And Spine Clinic PC enrolled in Medicare?

Yes. Azalea Neuro And Spine Clinic PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Azalea Neuro And Spine Clinic PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurosurgery) reassigns their Medicare billing to Azalea Neuro And Spine Clinic PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Azalea Neuro And Spine Clinic PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Azalea Neuro And Spine Clinic PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Azalea Neuro And Spine Clinic PC was last updated on November 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.