Integrative Health PC

Psychiatry & Neurology, Psychiatry in Valdosta, GA. Organization (NPI-2).

NPI number1962780171

StatusActive

Last updated in NPPESFeb 29, 2012

Details

NPI: 1962780171
Entity type: Organization (NPI-2)
Legal business name: Integrative Health PC
Organization subpart: No
Enumeration date: Jul 22, 2011
Last updated: Feb 29, 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
2084P0800X	Psychiatry & Neurology, Psychiatry	54448	GA	Yes

Practice location

2935 N Ashley St
Suite 114
Valdosta, GA 31602-1777

Phone 229-219-1831

Mailing address

2935 N Ashley St Ste 114
Valdosta, GA 31602-1788

Phone 229-219-1831

Authorized official

Tiffany Michelle Kumpel
President
2293339632

Is something wrong?

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Other Psychiatry Physician providers in Valdosta, GA

All 19 Psychiatry Physician providers in Valdosta · All 2,519 providers in Valdosta

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