Valdosta Gastroenterology Associates, LLC
Internal Medicine, Gastroenterology in Valdosta, GA. Organization (NPI-2).
Details
- NPI
- 1114962255
- Entity type
- Organization (NPI-2)
- Legal business name
- Valdosta Gastroenterology Associates, LLC
- Organization subpart
- No
- Enumeration date
- Jun 20, 2006
- Last updated
- Jun 8, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | – | – | Yes |
Practice location
410 Connell RdValdosta, GA 31602-1407
Phone 229-244-1570 · Fax 229-247-1084
Mailing address
410 Connell RdValdosta, GA 31602-1407
Phone 229-244-1570 · Fax 229-247-1084
Authorized official
Eric M Ward
Physician
2292441570
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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