P Praxis·MD
● Active Type 2 · Organization

David W Retterbush MD Pc

Surgery·Valdosta, GA· NPI 1912992587 · Enumerated 2005 · 20 years on NPI
David W Retterbush MD Pc is 1 of 1389 surgery organizations in Georgia.
NPI age
20 years
Enumerated 2005-09-20
Primary specialty
Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Retterbush
Owner President
Last NPPES update
2008-06-19
Source: monthly bulk 2026-05

How this organization compares

Across 1389 active surgery providers in Georgia.

NPI age
20 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2005 → 2026

2005-09Enumerated in NPPES
2005 2026

Where they practice

Primary practice location
403 Cowart Ave
Valdosta, GA 316022635
📞 2292440034fax 2292441871
Mailing address
Po Box 3638
Valdosta, GA 316043638
📞 2292440034fax 2292441871

Authorized official

David William Retterbush, MD
Owner President
📞 2292440034

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Surgery Primary
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    GA license #20145FL license #51883KY license #19642 taxonomy 208600000X

Identifiers

TypeValueNotes
01 (GA) 525023 BS OF GA
01 (GA) 511G700378 GROUP PROVIDER TRANSACTION ACCESS NUMBER ( PTAN)
05 (GA) 000193278A
01 (GA) 020022209 RAILROAD MEDICARE

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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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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