| Brian C. Griner, Md, Llc | |
|
3301 N Oak Street Ext Valdosta GA 31605-1014 | |
| (229) 242-6061 | |
| (229) 242-6151 |
| Full Name | Brian C. Griner, Md, Llc |
|---|---|
| Speciality | Pediatrics |
| Location | 3301 N Oak Street Ext, Valdosta, Georgia |
| Authorized Official Name and Position | Brian C. Griner M.d. (PRESIDENT) |
| Authorized Official Contact | 2292426061 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian C. Griner, Md, Llc 3301 N Oak St Ext Valdosta GA 31605 Ph: (229) 242-6061 | Brian C. Griner, Md, Llc 3301 N Oak Street Ext Valdosta GA 31605-1014 Ph: (229) 242-6061 |
| NPI Number | 1083832901 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 05/02/2023 |
| Medicare PECOS PAC ID | 8921190901 |
|---|---|
| Medicare Enrollment ID | O20070822000767 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083832901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 046966 (Georgia) | Secondary |
| 208000000X | Pediatrics | 046966 (Georgia) | Primary |
| Provider Name | Katie E Miner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568490928 PECOS PAC ID: 5395702708 Enrollment ID: I20041217000190 |
| Provider Name | Brian C Griner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366470650 PECOS PAC ID: 2163514175 Enrollment ID: I20070906000041 |
| Provider Name | Seth A Courson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952763302 PECOS PAC ID: 0446544928 Enrollment ID: I20190912000497 |
| Provider Name | Matthew Nijem Varn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316370851 PECOS PAC ID: 1951652403 Enrollment ID: I20200909000846 |
Joseph S Thomas M D Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Connell Rd, Ste T, Valdosta, GA 31602 Phone: 229-242-9565 Fax: 229-242-1725 | |
Care Medical Center Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2804 N Oak St, Suite C, Valdosta, GA 31602 Phone: 229-241-8925 Fax: 229-241-7672 | |
Valdosta Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3300 Greystone Way, Valdosta, GA 31605 Phone: 229-247-7700 | |
Valdosta Gastroenterology Associates, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 410 Connell Rd, Valdosta, GA 31602 Phone: 229-244-1570 Fax: 229-247-1084 | |
Partnership Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Griffin Ave, Valdosta, GA 31601 Phone: 229-245-0020 Fax: 229-245-9855 | |
Bennett P Hogan Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 117 W Northside Dr, Valdosta, GA 31602 Phone: 229-333-0616 Fax: 229-333-0647 |