Sgmc Physician Network Inc - Medicare Primary Care in Valdosta, GA

Sgmc Physician Network Inc is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Valdosta, Georgia. The current practice location for Sgmc Physician Network Inc is 2501 N Patterson St, Valdosta, Georgia. For appointments, you can reach them via phone at (229) 433-1997. The mailing address for Sgmc Physician Network Inc is Po Box 9, Valdosta, Georgia and phone number is (229) 245-6232.

Sgmc Physician Network Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1417597170. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (229) 433-1997.

Contact Information

Sgmc Physician Network Inc
2501 N Patterson St
Valdosta
GA 31602-1735
(229) 433-1997
(229) 433-1998

Map and Direction


Primary Care Clinic Profile

Full NameSgmc Physician Network Inc
SpecialityClinic/Center
Location2501 N Patterson St, Valdosta, Georgia
Authorized Official Name and PositionJulie Hodges (CONTROLLER)
Authorized Official Contact2292594140
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sgmc Physician Network Inc
Po Box 9
Valdosta
GA 31603-0009

Ph: (229) 245-6232
Sgmc Physician Network Inc
2501 N Patterson St
Valdosta
GA 31602-1735

Ph: (229) 433-1997

NPI Details:

NPI Number1417597170
Provider Enumeration Date01/10/2020
Last Update Date07/28/2022

Medicare PECOS Information:

Medicare PECOS PAC ID4082036843
Medicare Enrollment IDO20201015000629

Medical Identifiers

Medical identifiers for Sgmc Physician Network Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417597170NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM1300XClinic/center - Multi-specialty (* (Not Available))Primary
261QU0200XClinic/center - Urgent Care (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Sgmc Physician Network Inc acts as a billing entity for following providers:
Provider NameDavid R Jackson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215079983
PECOS PAC ID: 8325937956
Enrollment ID: I20040312000173
Provider NameJames C. Eutzler
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1801887161
PECOS PAC ID: 9931192986
Enrollment ID: I20040406000253
Provider NameWilliam N Oduro
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1720177488
PECOS PAC ID: 5294716007
Enrollment ID: I20040527000559
Provider NameLeonard F Howard
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1841227923
PECOS PAC ID: 0244212207
Enrollment ID: I20040603000361
Provider NameJoe H Johnson
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1326082033
PECOS PAC ID: 8022919505
Enrollment ID: I20040622000832
Provider NameRandall B Brown
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1124062831
PECOS PAC ID: 2668373143
Enrollment ID: I20040622001088
Provider NameRobert D Collins
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1447250220
PECOS PAC ID: 6901882182
Enrollment ID: I20040628001126
Provider NameAlberto E Garcia
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518047547
PECOS PAC ID: 1557331089
Enrollment ID: I20040730000342
Provider NameVera C Garcia
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1154401107
PECOS PAC ID: 6204815160
Enrollment ID: I20040730000376
Provider NameSara N Yarbrough
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1437235199
PECOS PAC ID: 2466423314
Enrollment ID: I20040804000262
Provider NamePamela H Temples
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1740366442
PECOS PAC ID: 8527039445
Enrollment ID: I20040804000735
Provider NameRichard W.a. Rickman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1609809300
PECOS PAC ID: 8921074667
Enrollment ID: I20040907000110
Provider NameCharles P Murrah
Provider TypePractitioner - Cardiac Surgery
Provider IdentifiersNPI Number: 1942253430
PECOS PAC ID: 5294635470
Enrollment ID: I20040916000375
Provider NameThomas W Hobby
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1497749733
PECOS PAC ID: 5092763318
Enrollment ID: I20050104000332
Provider NameAlford T Brady
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1467449272
PECOS PAC ID: 8628026960
Enrollment ID: I20050104000504
Provider NameKathleen S Johnson
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1104819689
PECOS PAC ID: 1658322599
Enrollment ID: I20050208000579
Provider NameDennis R Thomas
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821031329
PECOS PAC ID: 8729032685
Enrollment ID: I20050303000847
Provider NameAlan W Stout
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1205878386
PECOS PAC ID: 3779511613
Enrollment ID: I20050801000987
Provider NameDaniel J Messcher
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1164455077
PECOS PAC ID: 4688603632
Enrollment ID: I20050810000137
Provider NamePrem Kumar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1124003587
PECOS PAC ID: 2961421730
Enrollment ID: I20051122000366
Provider NameWilliam Nash
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1235172628
PECOS PAC ID: 6204729619
Enrollment ID: I20060720000227
Provider NameShawn D Vandemark
Provider TypePractitioner - Plastic And Reconstructive Surgery
Provider IdentifiersNPI Number: 1336188176
PECOS PAC ID: 0244233989
Enrollment ID: I20060817000485
Provider NameNicolas Psomiadis
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1720059637
PECOS PAC ID: 6800890278
Enrollment ID: I20060828000371
Provider NameMahmood S Eisa
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1184606824
PECOS PAC ID: 1456375161
Enrollment ID: I20061211000217
Provider NameSamuel Taylor
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1164436788
PECOS PAC ID: 1951303262
Enrollment ID: I20070215000050
Provider NameJerthitia S Taylor
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1467468561
PECOS PAC ID: 8022010339
Enrollment ID: I20070215000066
Provider NameHernando Moreno
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1396950994
PECOS PAC ID: 0840390944
Enrollment ID: I20070702000498
Provider NameWinston C Connell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1144370206
PECOS PAC ID: 2668572793
Enrollment ID: I20070703000039
Provider NameKamil I Hanna
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1881632099
PECOS PAC ID: 0749266831
Enrollment ID: I20070725000256
Provider NameBrian C Griner
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1366470650
PECOS PAC ID: 2163514175
Enrollment ID: I20070906000041
Provider NameVictoria L Meredith
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1538143987
PECOS PAC ID: 8022103712
Enrollment ID: I20070926000520
Provider NameCarlo C Lee
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1083619779
PECOS PAC ID: 1355424110
Enrollment ID: I20080218000025
Provider NamePhillip E Hadley
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1215098454
PECOS PAC ID: 4688750425
Enrollment ID: I20080319000558
Provider NameDavid W Retterbush
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1396910337
PECOS PAC ID: 1456430537
Enrollment ID: I20080430000496
Provider NameFrancis Kwarteng
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1851551923
PECOS PAC ID: 1052470705
Enrollment ID: I20081110000521
Provider NamePaul Murray
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1730183542
PECOS PAC ID: 1355400805
Enrollment ID: I20081112000684
Provider NameCristi L Godwin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407824832
PECOS PAC ID: 5890859052
Enrollment ID: I20090203000208
Provider NameDaren K Wooten
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1811194483
PECOS PAC ID: 3375695273
Enrollment ID: I20090723000042
Provider NameStephen T Zeigler
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1649270554
PECOS PAC ID: 2466595467
Enrollment ID: I20100129000388
Provider NameVanessa Baker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861503757
PECOS PAC ID: 4880729672
Enrollment ID: I20100318000464
Provider NameJoseph S Thomas
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1437258506
PECOS PAC ID: 6608822218
Enrollment ID: I20100615000763
Provider NameAsa A Peek
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1336127802
PECOS PAC ID: 1951432988
Enrollment ID: I20100708000265
Provider NameDavid Keith Parker
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1306819040
PECOS PAC ID: 3779627369
Enrollment ID: I20100712000017
Provider NameWilliam Harvey Miller
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1326011057
PECOS PAC ID: 2961546551
Enrollment ID: I20100712000253
Provider NameDallas M Miller
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1184697815
PECOS PAC ID: 1052455649
Enrollment ID: I20100715000010
Provider NameOscar Aguero
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1962406918
PECOS PAC ID: 3678465424
Enrollment ID: I20100827000532
Provider NameJonathan L Underwood
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1265612972
PECOS PAC ID: 6406040005
Enrollment ID: I20101027001264
Provider NameKurt Martinuzzi
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1770504128
PECOS PAC ID: 3476653775
Enrollment ID: I20101129000716
Provider NameAnnette S Robinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629129390
PECOS PAC ID: 5092902437
Enrollment ID: I20101210000061
Provider NameEllen Eanes Courson
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1528080496
PECOS PAC ID: 8426245879
Enrollment ID: I20101210000250
Provider NameJarod F Bailey
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1649432733
PECOS PAC ID: 4688842198
Enrollment ID: I20110727000221
Provider NamePamela W Powell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184805400
PECOS PAC ID: 0143304741
Enrollment ID: I20110923000184
Provider NameVincent J Jones
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1083843296
PECOS PAC ID: 9234305236
Enrollment ID: I20111221000589
Provider NameAdam C Jones
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1346478542
PECOS PAC ID: 7012183940
Enrollment ID: I20111227000485
Provider NameHernan Nunez Posas
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1689786055
PECOS PAC ID: 3971653221
Enrollment ID: I20120308000584
Provider NameZakiyyah V Weatherspoon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285904250
PECOS PAC ID: 0042470072
Enrollment ID: I20120328000456
Provider NameHale E Hedley
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1669406260
PECOS PAC ID: 7810917176
Enrollment ID: I20120723000584
Provider NameRuben Font
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1194959916
PECOS PAC ID: 8123275302
Enrollment ID: I20120822000648
Provider NameRita Drake Cook
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346679537
PECOS PAC ID: 0345478814
Enrollment ID: I20140107000631
Provider NameElizabeth Flail
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1548554124
PECOS PAC ID: 3870737000
Enrollment ID: I20140922001527
Provider NameMesheal L Leverett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124420856
PECOS PAC ID: 6103149463
Enrollment ID: I20141218000820
Provider NameKelly Blackmon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992110688
PECOS PAC ID: 3072830058
Enrollment ID: I20150401001028
Provider NameDakshaben P Coleman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467793000
PECOS PAC ID: 4183936107
Enrollment ID: I20150706001481
Provider NameDavid M Hardy
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1548467939
PECOS PAC ID: 7517105299
Enrollment ID: I20150902000673
Provider NameBipin Patel
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1356453914
PECOS PAC ID: 1355341306
Enrollment ID: I20150909002780
Provider NameRudolph King
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1194797555
PECOS PAC ID: 4688820087
Enrollment ID: I20150929000388
Provider NameMandy Lucas
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1346531662
PECOS PAC ID: 6800105198
Enrollment ID: I20151028001053
Provider NameTravis L Bailey
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1164711313
PECOS PAC ID: 9234449497
Enrollment ID: I20151030001637
Provider NameAnthony Johnson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104186246
PECOS PAC ID: 4880850692
Enrollment ID: I20151102000983
Provider NameWindy Dawn Giddens
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720451982
PECOS PAC ID: 1456651926
Enrollment ID: I20151207000177
Provider NameOlivia Hope Wright
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255729513
PECOS PAC ID: 8325348733
Enrollment ID: I20151207002226
Provider NameJulia A Drake
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487027967
PECOS PAC ID: 7113224049
Enrollment ID: I20160321001458
Provider NameTeki Susan Hegwood
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1013001627
PECOS PAC ID: 2860456746
Enrollment ID: I20160330001138
Provider NameAna Margarita Margarita Hernandez Silen
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1871752907
PECOS PAC ID: 2365635125
Enrollment ID: I20160803000543
Provider NameJana D Harrod
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477900355
PECOS PAC ID: 3779877121
Enrollment ID: I20160808000638
Provider NameRandal Jared Sanders
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1780983478
PECOS PAC ID: 4789832478
Enrollment ID: I20160809000228
Provider NameStacy Beck
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730621582
PECOS PAC ID: 4385926492
Enrollment ID: I20170125002936
Provider NameMichael Edward Kuo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760922264
PECOS PAC ID: 1658648258
Enrollment ID: I20170602001278
Provider NameBernard J Wortman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386181238
PECOS PAC ID: 5092084145
Enrollment ID: I20170705000613
Provider NameClifton Blayne Thomas
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659799757
PECOS PAC ID: 4688953037
Enrollment ID: I20170725002556
Provider NameMillie Taylor Jordan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811440654
PECOS PAC ID: 0648541524
Enrollment ID: I20170810003531
Provider NameJames Shoptaw Jr.
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1710951942
PECOS PAC ID: 3678543089
Enrollment ID: I20170822002228
Provider NameKyle Moody Adams
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508284431
PECOS PAC ID: 2466735915
Enrollment ID: I20170825002016
Provider NameGarrett Shane Surrency
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104348432
PECOS PAC ID: 7517239502
Enrollment ID: I20170825002328
Provider NameTaylor N Fiveash
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962922427
PECOS PAC ID: 7618249558
Enrollment ID: I20170828001053
Provider NameMargaret C Carter-poore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235652421
PECOS PAC ID: 6507139136
Enrollment ID: I20170901002753
Provider NameVicy Carroll
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417470162
PECOS PAC ID: 2567737083
Enrollment ID: I20171010002251
Provider NameNathan Kelly Roberson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023532280
PECOS PAC ID: 6507122306
Enrollment ID: I20171110002426
Provider NameLila L Bennett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932620598
PECOS PAC ID: 5991061400
Enrollment ID: I20171115002335
Provider NameJason A Swaby
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1366735102
PECOS PAC ID: 7810112232
Enrollment ID: I20171218002088
Provider NameEric Joseph Thomas
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1306107313
PECOS PAC ID: 0840505871
Enrollment ID: I20180119001806
Provider NameLaura Guadiana
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1598084386
PECOS PAC ID: 5991920340
Enrollment ID: I20180125002138
Provider NameMichael E Anigbogu
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1417277625
PECOS PAC ID: 4082873161
Enrollment ID: I20180530000858
Provider NameJames Richard Davis
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1033354741
PECOS PAC ID: 0244488930
Enrollment ID: I20180822001729
Provider NameAshley Louise Exum
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083122709
PECOS PAC ID: 4183974728
Enrollment ID: I20180901000148
Provider NameTimothy Blake Taylor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356847743
PECOS PAC ID: 2769732288
Enrollment ID: I20180904003293
Provider NameLoan L Vu
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1780909879
PECOS PAC ID: 3870769557
Enrollment ID: I20181004003060
Provider NameBrooke C Sukalski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467936179
PECOS PAC ID: 9436493996
Enrollment ID: I20181211000167
Provider NameJanice L Irvin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760961155
PECOS PAC ID: 7719221126
Enrollment ID: I20181211002476
Provider NameDilleta A Shackelford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811209208
PECOS PAC ID: 5294070736
Enrollment ID: I20190102002298
Provider NameKeegan A Michel
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1992169692
PECOS PAC ID: 3173804184
Enrollment ID: I20190211002664
Provider NameTeresa Tripp Ford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023580420
PECOS PAC ID: 7810235710
Enrollment ID: I20190220000432
Provider NameMegan L Miller
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1972965390
PECOS PAC ID: 9638465289
Enrollment ID: I20190318001570
Provider NameJon R Teegardin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669955134
PECOS PAC ID: 1759622889
Enrollment ID: I20190417002833
Provider NameThomas Hart
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417474180
PECOS PAC ID: 6507109477
Enrollment ID: I20190515003452
Provider NameXenophon Mucciarone
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1801216007
PECOS PAC ID: 9830319565
Enrollment ID: I20190528000466
Provider NameRobert G Kirtley
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1477780708
PECOS PAC ID: 1153654769
Enrollment ID: I20190613002957
Provider NameApurav A Panwala
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1154684678
PECOS PAC ID: 7810207974
Enrollment ID: I20190807004159
Provider NameDavis Page Lester
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1306208558
PECOS PAC ID: 4183917131
Enrollment ID: I20190819003634
Provider NameBrian R Pisula
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1477999126
PECOS PAC ID: 3577789387
Enrollment ID: I20190822002932
Provider NameEric Brent Edgerton
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1700248788
PECOS PAC ID: 6406142934
Enrollment ID: I20190823003550
Provider NameMichael D Caoile
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184286684
PECOS PAC ID: 1153653829
Enrollment ID: I20191029003704
Provider NameBetsy E Tanner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295387751
PECOS PAC ID: 7113128141
Enrollment ID: I20191211003242
Provider NameLucas Nathan Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770003592
PECOS PAC ID: 7214297944
Enrollment ID: I20191218002970
Provider NameBrian P Shields
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1154596773
PECOS PAC ID: 4082882030
Enrollment ID: I20191223000880
Provider NameCorey W Dye
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1679004097
PECOS PAC ID: 6103199435
Enrollment ID: I20200121000351
Provider NameBhumiben Kushal Patel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467004507
PECOS PAC ID: 8628403680
Enrollment ID: I20200121002611
Provider NameRachael N. Jefferson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447766738
PECOS PAC ID: 0840626545
Enrollment ID: I20200128001859
Provider NameJames Phillip Smith
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1376517789
PECOS PAC ID: 2769810522
Enrollment ID: I20200310002503
Provider NameLindsey Lawhorn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992335855
PECOS PAC ID: 6204264641
Enrollment ID: I20200317002041
Provider NameRobin Brown Dillard
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1871740324
PECOS PAC ID: 6709813330
Enrollment ID: I20200420000994
Provider NameKimberly A Mackey
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1952533739
PECOS PAC ID: 5698055325
Enrollment ID: I20200501002888
Provider NameDanielle C Yund
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700410602
PECOS PAC ID: 7315378528
Enrollment ID: I20200502000027
Provider NameDeborah S Lyon
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1528034832
PECOS PAC ID: 2062697584
Enrollment ID: I20200607000005
Provider NameBrad Jay Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639640436
PECOS PAC ID: 1850713199
Enrollment ID: I20200615003349
Provider NameKristin Sharp Tucker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306400601
PECOS PAC ID: 1557783552
Enrollment ID: I20200620000037
Provider NameSaikiran Raghavapuram
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1790065464
PECOS PAC ID: 1153648464
Enrollment ID: I20200713003560
Provider NameJacqueline O'kane
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1396085981
PECOS PAC ID: 3870815970
Enrollment ID: I20200720001770
Provider NameMatthew Brown
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1275916827
PECOS PAC ID: 2567709710
Enrollment ID: I20200819003440
Provider NameCatherine Garfunkel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275155517
PECOS PAC ID: 3678991320
Enrollment ID: I20200914000892
Provider NameErin Nichole Satterfield
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164040556
PECOS PAC ID: 9133547789
Enrollment ID: I20200914001164
Provider NameAmit Bhavsar
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1427131986
PECOS PAC ID: 7315379443
Enrollment ID: I20201027002120
Provider NameKenneth James Burnsed
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730796111
PECOS PAC ID: 9830165844
Enrollment ID: I20201029000948
Provider NameDaryoosh Derakhshan
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1881936631
PECOS PAC ID: 5698068724
Enrollment ID: I20201102001487
Provider NameJohn William Ledwitch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528116019
PECOS PAC ID: 0941611560
Enrollment ID: I20201202002149
Provider NameDeepthi Gandhiraj
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1144621012
PECOS PAC ID: 6901183425
Enrollment ID: I20201204000157
Provider NameRuth H Duda
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1063482230
PECOS PAC ID: 1456680842
Enrollment ID: I20201216002614
Provider NameShelby Mcneal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265020358
PECOS PAC ID: 1254745409
Enrollment ID: I20210128002391
Provider NameHarold Howe
Provider TypePractitioner - Colorectal Surgery (proctology)
Provider IdentifiersNPI Number: 1346500386
PECOS PAC ID: 4082879606
Enrollment ID: I20210217000918
Provider NameGeoffrey Yurcisin
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1821401233
PECOS PAC ID: 6608095757
Enrollment ID: I20210223003022
Provider NameCole Seaton
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1205331170
PECOS PAC ID: 8820419831
Enrollment ID: I20210324000324
Provider NameLauren Melissa Castillo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114512050
PECOS PAC ID: 8123435369
Enrollment ID: I20210406000249
Provider NameHeather Svenson
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1649381880
PECOS PAC ID: 3971911637
Enrollment ID: I20210416001872
Provider NameLynda Dee Davis Ott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568522639
PECOS PAC ID: 6305246828
Enrollment ID: I20210621000923
Provider NameRobin M Stinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376108894
PECOS PAC ID: 3274866322
Enrollment ID: I20210803002453
Provider NameVijay Bandhakavi
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1184887473
PECOS PAC ID: 1951557859
Enrollment ID: I20210803003225
Provider NameSarah Harrell Kester
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255946414
PECOS PAC ID: 9335543982
Enrollment ID: I20210804002943
Provider NamePaige Huston Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477129104
PECOS PAC ID: 7416351317
Enrollment ID: I20210813000492
Provider NameWilliam Hartley
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003315227
PECOS PAC ID: 7315341229
Enrollment ID: I20210813000971
Provider NameCheryl Lynn Chadwick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952972259
PECOS PAC ID: 4981008802
Enrollment ID: I20210813001342
Provider NameRyan Scott Brandt
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1356845788
PECOS PAC ID: 8527303007
Enrollment ID: I20210830001388
Provider NameLucas Seibolt
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1588074140
PECOS PAC ID: 6204100563
Enrollment ID: I20210914003144
Provider NameRita Medina
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1922419928
PECOS PAC ID: 7911278627
Enrollment ID: I20210915000499
Provider NameAustin W Sorchik
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1598256331
PECOS PAC ID: 7810318839
Enrollment ID: I20210928001895
Provider NameHannah Cheek
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316573934
PECOS PAC ID: 6608264916
Enrollment ID: I20211019001158
Provider NameTayler Robin Ebert
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710658042
PECOS PAC ID: 4587052584
Enrollment ID: I20211025001529
Provider NameVicki Wetter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003445297
PECOS PAC ID: 1759770845
Enrollment ID: I20211111000017
Provider NameLaura Cardie Barbee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477068575
PECOS PAC ID: 9234493172
Enrollment ID: I20211124000248
Provider NameGrant P Barker
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1477013555
PECOS PAC ID: 4082956024
Enrollment ID: I20220221000669
Provider NameJulia H Goff
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487309514
PECOS PAC ID: 0941697551
Enrollment ID: I20220429001119
Provider NameStacey Newsome
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497390116
PECOS PAC ID: 3476940727
Enrollment ID: I20220505000244
Provider NameJason Boyd Langley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194471060
PECOS PAC ID: 2668859497
Enrollment ID: I20220517003288
Provider NameEdward Distler
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1891180352
PECOS PAC ID: 8224381421
Enrollment ID: I20220707002997
Provider NameHoward Edward Bowers
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1538484167
PECOS PAC ID: 3173751856
Enrollment ID: I20220713001509
Provider NameChristopher Poore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871220525
PECOS PAC ID: 7315322112
Enrollment ID: I20220914003668
Provider NameShalom Barile
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649877200
PECOS PAC ID: 1254744352
Enrollment ID: I20221118001445
Provider NameMegan Stone
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568198000
PECOS PAC ID: 8921479510
Enrollment ID: I20230118001525
Provider NameDouglas Holt
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1144337049
PECOS PAC ID: 4183782949
Enrollment ID: I20230124002305
Provider NameRichard Bias
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1518595339
PECOS PAC ID: 0143645325
Enrollment ID: I20230125001505
Provider NameDiego Moreno
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1245761782
PECOS PAC ID: 1951724509
Enrollment ID: I20230201001329
Provider NameAndrew Mancusi-ungaro
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1346550415
PECOS PAC ID: 8426472002
Enrollment ID: I20230206001637
Provider NameRaymond A Hakh
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1962039933
PECOS PAC ID: 7012332323
Enrollment ID: I20230208000604
Provider NameBrendan Mcgowan
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1699301523
PECOS PAC ID: 5395162325
Enrollment ID: I20230209002047
Provider NameGinger Ambron
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881050375
PECOS PAC ID: 3779888383
Enrollment ID: I20230214000347
Provider NameAshton Federico
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1619504271
PECOS PAC ID: 3274956164
Enrollment ID: I20230214002108
Provider NameKaitlin L Hufstetler
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1740784164
PECOS PAC ID: 0042563827
Enrollment ID: I20230302002242
Provider NameSamantha Noelle Baxley
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1629605381
PECOS PAC ID: 4688047020
Enrollment ID: I20230306000371
Provider NameHeather Streichert
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669170643
PECOS PAC ID: 5991179970
Enrollment ID: I20230314001031
Provider NameMadison Hill
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1811474133
PECOS PAC ID: 0143629311
Enrollment ID: I20230323000981
Provider NameAustin Meng
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1043848542
PECOS PAC ID: 0042638298
Enrollment ID: I20230406000910
Provider NameJoy Turner
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1568093052
PECOS PAC ID: 0345664645
Enrollment ID: I20230508001749
Provider NameJayme Erin Parker
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1912528084
PECOS PAC ID: 3779941471
Enrollment ID: I20230627002371
Provider NameAmrendra K Mandal
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1518480250
PECOS PAC ID: 1254675358
Enrollment ID: I20230705000203
Provider NameJeff Anucha
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1942652524
PECOS PAC ID: 3072973270
Enrollment ID: I20230719004304
Provider NameBrittany Michelle Martin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780357152
PECOS PAC ID: 8325408263
Enrollment ID: I20230724002635
Provider NameLeah R Goodson-gerami
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1861782450
PECOS PAC ID: 5991003394
Enrollment ID: I20230808000411
Provider NameEne Grace Morgan
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1821651951
PECOS PAC ID: 9830551779
Enrollment ID: I20230809003335
Provider NameDavis Wood
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1124654157
PECOS PAC ID: 2466814157
Enrollment ID: I20230811001729
Provider NameReanne Catherine Harris
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1841829272
PECOS PAC ID: 0648633180
Enrollment ID: I20230830003583
Provider NameKatelin Cristine Mcleod
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407539620
PECOS PAC ID: 8022464114
Enrollment ID: I20231025003142
Provider NameLeigh Hendley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437795572
PECOS PAC ID: 7911390133
Enrollment ID: I20231219003738
Provider NameCarter Adams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497535637
PECOS PAC ID: 8628411840
Enrollment ID: I20240205002893

Reviews and Comments


Clinic/Center in Valdosta, GA

Joseph S Thomas M D
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 410 Connell Rd, Ste T, Valdosta, GA 31602
Phone: 229-242-9565    Fax: 229-242-1725
Care Medical Center Llc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 2804 N Oak St, Suite C, Valdosta, GA 31602
Phone: 229-241-8925    Fax: 229-241-7672
Griner Medical Group
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 3301 N Oak Street Ext, Valdosta, GA 31605
Phone: 229-242-6061    Fax: 229-242-6151
Valdosta Medical Associates
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 3300 Greystone Way, Valdosta, GA 31605
Phone: 229-247-7700    
Valdosta Gastroenterology Associates, Llc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 410 Connell Rd, Valdosta, GA 31602
Phone: 229-244-1570    Fax: 229-247-1084
Partnership Health Center
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 520 Griffin Ave, Valdosta, GA 31601
Phone: 229-245-0020    Fax: 229-245-9855
Bennett P Hogan Md Pc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 117 W Northside Dr, Valdosta, GA 31602
Phone: 229-333-0616    Fax: 229-333-0647

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.