P Praxis·MD
● Active Type 2 · Organization

South Georgia Csb

Clinic/Center·Valdosta, GA· NPI 1407929730 · Enumerated 2006 · 19 years on NPI
South Georgia Csb is 1 of 662 clinic/center organizations in Georgia.
NPI age
19 years
Enumerated 2006-11-16
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Harrell
Chief Financial Officer
Last NPPES update
2009-01-08
Source: monthly bulk 2026-05

How this organization compares

Across 662 active clinic/center providers in Georgia.

NPI age
19 years
↑ 14 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-11Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
252 N Saint Augustine Rd
Valdosta, GA 316015274
📞 2292456400fax 2292494996
Mailing address
252 N Saint Augustine Rd
Valdosta, GA 316015274
📞 2292456400fax 2292494996

Authorized official

Brenda Harrell
Chief Financial Officer
📞 2296716140

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QM0801X

Identifiers

TypeValueNotes
05 (GA) 0000742475O

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • New Beginnings
    Type code 3 recorded 2006-11-16

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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