{
"Npi": {
"NPI": "1144320177",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SOUTH HEALTH DISTRICT 8-1 (INFECTIOUS DISEASE PROGRAM)",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 5147",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "VALDOSTA",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "31603-5147",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "229-245-8711",
"MailingAddressFaxNumber": "229-245-8432",
"FirstLinePracticeLocationAddress": "106 S PATTERSON STREET",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "VALDOSTA",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "31601",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "229-333-5290",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/22/2006",
"LastUpdateDate": "05/22/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PRIDGEN",
"AuthorizedOfficialFirstName": "ALLIE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "DISTRICT ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "229-333-5290",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251K00000X",
"TaxonomyName": "Public Health or Welfare Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}