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LINDSEY C MCCLAIN NP
NPI 1013217645
Nurse Practitioner - Family in Valdosta, GA

Active since October 29, 2010PECOS EnrolledAccepts Medicare Assignment
78.41/100
CMS Quality Rating
117 W NORTHSIDE DR, VALDOSTA, GA 31602(229) 242-6061(229) 242-6151 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lindsey C Mcclain Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LINDSEY C MCCLAIN NP (NPI 1013217645) is an individual family provider in Valdosta, Georgia, licensed in Georgia (NP173621) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS, is affiliated with Tift Regional Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1013217645
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLINDSEY C MCCLAINCredential: NP
Location Address117 W NORTHSIDE DRValdosta, GA 31602-1700
Mailing Address3759 Old Coffee RdAdel, GA 31620-6839 · (912) 389-0392
Phone(229) 242-6061
Fax(229) 242-6151
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateOctober 29, 2010
Last NPPES UpdateOctober 13, 2025
NPPES CertifiedOctober 13, 2025
✔ NPI 1013217645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · NP173621
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License RN173621 (GA)
117 W NORTHSIDE DR, Valdosta, GA 31602
Open in Google Maps ↗

Other Identifiers 1

Medicaid003127383AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lindsey C Mcclain Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092959494
PECOS Enrollment IDI20130925000856
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
54 services48 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
46 services45 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tift Regional Medical Center

Acute Care Hospitals · Tifton, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110095
Location901 E 18th StreetTifton, GA 31793 · Tift County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31602 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.68
Promoting Interoperability100
Improvement Activities40
Cost66.15

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BENNETT P HOGAN MD PC
Family Medicine
117 W NORTHSIDE DR
VALDOSTA, GA 31602
Lowndes County (229) 333-0616
BENNETT P HOGAN M.D.
Family Medicine
117 W NORTHSIDE DR
VALDOSTA, GA 31602
Lowndes County (229) 333-0616
MRS. KELLY W DRUMHELLER NP C
Nurse Practitioner
117 W NORTHSIDE DR
VALDOSTA, GA 31602
Lowndes County (229) 242-6061

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lindsey Mcclain's NPI number?

The NPI number for Lindsey Mcclain is 1013217645. It was assigned to this individual provider in the NPPES registry on October 29, 2010.

Where is Lindsey Mcclain located?

Lindsey Mcclain practices at 117 W Northside Dr, Valdosta, GA 31602. The listed phone number is (229) 242-6061.

What is Lindsey Mcclain's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lindsey Mcclain enrolled in Medicare?

Yes. Lindsey Mcclain is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lindsey Mcclain accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Lindsey Mcclain as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Lindsey Mcclain affiliated with any hospitals?

According to CMS data, Lindsey Mcclain is affiliated with Tift Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Lindsey Mcclain was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.