NPI age
13 years
Enumerated 2013-05-14
● Active Type 2 · Organization
Urological Clinic Of Valdosta Ambulatory Surgical Center, Llc
Urological Clinic Of Valdosta Ambulatory Surgical Center, Llc is 1 of 602 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Chiang
Owner
Last NPPES update
2013-05-14
Source: monthly bulk 2026-05
How this organization compares
Across 602 active clinic/center providers in Georgia.
NPI age
13 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2013 → 2026
2013-05Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
3294 N Oak Street Ext
Valdosta, GA 316056473
Mailing address
3294 N Oak Street Ext
Valdosta, GA 316056473
Authorized official
Mike S Chiang, M.D.
Owner
📞 2292411188
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Shalese Aycock, NP Nurse Practitioner NPI 1386331734
- Patrick Parker, D.O. Urology NPI 1619170446
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.