| Valley Medical Center | |
|
701 Bluebird Blvd Fort Valley GA 31030-5085 | |
| (478) 825-7000 | |
| (478) 825-4478 |
| Full Name | Valley Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 701 Bluebird Blvd, Fort Valley, Georgia |
| Authorized Official Name and Position | Kimberly Shrewsbury (CFO) |
| Authorized Official Contact | 4786331452 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Medical Center 1960 Hwy 247 Connector Byron GA 31008-5663 Ph: (478) 654-2000 | Valley Medical Center 701 Bluebird Blvd Fort Valley GA 31030-5085 Ph: (478) 825-7000 |
| NPI Number | 1275775314 |
|---|---|
| Provider Enumeration Date | 04/06/2009 |
| Last Update Date | 11/10/2022 |
| Medicare PECOS PAC ID | 3375795693 |
|---|---|
| Medicare Enrollment ID | O20130402000222 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275775314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Curtis Clayton Howell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124249982 PECOS PAC ID: 3779533245 Enrollment ID: I20050124000501 |
| Provider Name | William Leatherwood |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346215829 PECOS PAC ID: 3375621451 Enrollment ID: I20080416000026 |
| Provider Name | Brandy Snook |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902080229 PECOS PAC ID: 2961583166 Enrollment ID: I20080731000439 |
| Provider Name | Anurita Dass |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518152495 PECOS PAC ID: 9739365628 Enrollment ID: I20110510000552 |
| Provider Name | Michelle K Broach |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386981108 PECOS PAC ID: 8921252586 Enrollment ID: I20130206000529 |
| Provider Name | Deep Adhikari |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1487821989 PECOS PAC ID: 9931393246 Enrollment ID: I20140320001192 |
| Provider Name | Timothy Harris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619358652 PECOS PAC ID: 4183930506 Enrollment ID: I20150831003088 |
| Provider Name | Gorby Leon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679911762 PECOS PAC ID: 6406158666 Enrollment ID: I20160616001441 |
| Provider Name | Philip M Knauer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871047563 PECOS PAC ID: 4688958812 Enrollment ID: I20170307000451 |
| Provider Name | Juan Carlos Camacho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063816528 PECOS PAC ID: 4183978000 Enrollment ID: I20181113001372 |
| Provider Name | Naushaba Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942298559 PECOS PAC ID: 1456359306 Enrollment ID: I20191017001498 |
| Provider Name | Jenna Rubin Franz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164066106 PECOS PAC ID: 6204265556 Enrollment ID: I20200407003482 |
| Provider Name | Brittney Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225511959 PECOS PAC ID: 3274879671 Enrollment ID: I20210127002014 |
| Provider Name | Kasey Eavenson Fish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558932004 PECOS PAC ID: 8628466281 Enrollment ID: I20211101001523 |
| Provider Name | Rene Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568762763 PECOS PAC ID: 4284878257 Enrollment ID: I20230427002127 |
| Provider Name | Gary Jonathan Myrthil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649835125 PECOS PAC ID: 3072848688 Enrollment ID: I20230619000600 |
Brown Family Practice, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 701 Bluebird Blvd, Fort Valley, GA 31030 Phone: 478-827-1971 Fax: 478-827-1973 | |
Health Services Of Central Georgia, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 State University Dr, Fort Valley, GA 31030 Phone: 478-825-6278 | |
Fvsusports Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 State University Dr, Fort Valley, GA 31030 Phone: 478-825-6195 | |
Cynthia L. Giles, D.o., L.l.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 555 Bluebird Blvd, Fort Valley, GA 31030 Phone: 478-825-8954 Fax: 478-825-0281 | |
Careconnect Convenient Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 209 North Camellia Blvd., Fort Valley, GA 31030 Phone: 478-822-0054 Fax: 478-822-0059 | |
Early Family Practice Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 Avera Dr, Fort Valley, GA 31030 Phone: 478-825-3317 Fax: 478-825-5499 |