Fort Valley State University
NPI 1457737769 · Internal Medicine Physician · Fort Valley, GA
Fort Valley State University is a Internal Medicine Physician organization in Fort Valley, GA (NPI 1457737769).
Provider details
- NPI number
- 1457737769
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mouzon Bass, Agent(972) 367-4845
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Fvsusports Medicine
Registry dates
- Enumerated
- 2015-08-10
- Last updated
- 2015-08-10
Frequently asked questions
- What is Fort Valley State University's NPI number?
- Fort Valley State University's National Provider Identifier (NPI) is 1457737769, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fort Valley State University?
- Fort Valley State University is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Fort Valley State University located?
- Fort Valley State University's practice location on file with NPPES is 1005 State University Dr, Fort Valley, GA 31030-4313.
- What is Fort Valley State University's phone number?
- The practice phone number listed in the NPPES registry for Fort Valley State University is (478) 825-6195.
- Who is the authorized official for Fort Valley State University?
- The authorized official listed on Fort Valley State University's NPPES record is Mouzon Bass, Agent. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fort Valley State University's NPI active?
- Yes — Fort Valley State University's NPI (1457737769) is active in the NPPES registry as of the last update on 2015-08-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.