● 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
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
| Type | Value | Notes |
| 05 (GA) |
0000742475O |
|
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Single-site organization. Only one practice location on file.
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How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.