NPI age
4 years
Enumerated 2022-03-16
● Active Type 2 · Organization
Subpart
Private Healthcare Facilities
Private Healthcare Facilities is 1 of 20 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hollingsworth
Office Staff
Last NPPES update
2024-12-22
Source: monthly bulk 2026-05
How this organization compares
Across 20 active clinic/center providers in Georgia.
NPI age
4 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2022 → 2026
2022-03Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
3338 Country Club Rd
Valdosta, GA 316051044
Mailing address
902 Kitty Hawk Rd # 170487
Universal City, TX 781483825
Authorized official
Priscilla Hollingsworth
Office Staff
📞 8669962340
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Victoria Gordon, CNM Advanced Practice Midwife NPI 1134621840
Specialties
-
Clinic/Center PrimaryA freestanding birth center is a health facility other than a hospital where childbirth is planned to occur away from the pregnant woman's residence, and that provides prenatal, labor and delivery, and postpartum care, as well as other...
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
Subpart of Private Healthcare Facilities.
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- 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.