NPI age
19 years
Enumerated 2006-11-20
● Active Type 2 · Organization
South Georgia Csb
South Georgia Csb is 1 of 117 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Gupton
Chief Executive Officer
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 117 active clinic/center providers in Georgia.
NPI age
19 years
↑ 12 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
1108 S Patterson St
Valdosta, GA 316016348
Mailing address
1108 S Patterson St
Valdosta, GA 316016348
Authorized official
Sue Gupton
Chief Executive Officer
📞 2292452379
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Project Light
Practice context
Single-site organization. Only one practice location on file.
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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.