VALDOSTA FAMILY MEDICINE
NPI 1114003779
Family Medicine in Valdosta, GA

Q: What is Valdosta Family Medicine Associates, P.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since October 27, 2006CLIA 11D0265606 · Certificate of Compliance

2412 N OAK ST, VALDOSTA, GA 31602(229) 244-1400(229) 244-5512 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Valdosta Family Medicine NPPES

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

VALDOSTA FAMILY MEDICINE (NPI 1114003779) is a healthcare organization registered as a family medicine in Valdosta, Georgia and active in the NPI registry since October 2006. The organization holds a CLIA Certificate of Compliance certificate valid through July 7, 2027 and lists Craig E Bishop, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1114003779

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameVALDOSTA FAMILY MEDICINE ASSOCIATES, P.C.

Location Address2412 N OAK STValdosta, GA 31602-2567

Mailing Address2412 N Oak StValdosta, GA 31602-2567 · (229) 244-1400 · Fax (229) 244-5512

Phone(229) 244-1400

Fax(229) 244-5512

Organization SubpartNo

Authorized OfficialCraig E BishopManaging Partner · (229) 244-1400

Enumeration DateOctober 27, 2006

Last NPPES UpdateDecember 28, 2021

NPPES CertifiedDecember 28, 2021

✔ NPI 1114003779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in GA · 045725✔ Licensed in GA · 030242✔ Licensed in GA · 029951✔ Licensed in GA · 029930

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedChiropractorTaxonomy 111N00000X · License CHIRO02539 (GA)

Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X · License 044001 (GA)

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X · License 041290 (GA)

Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X · License 041978 (GA)

Also ListedOtolaryngologyTaxonomy 207Y00000X · License 008563 (GA)

Also ListedPhysician AssistantTaxonomy 363A00000X · License 004094 (GA), 004849 (GA), 003072 (GA)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN154901 (GA)

2412 N OAK ST, Valdosta, GA 31602

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Other Names 1

Doing Business AsValdosta Family Medicine

Other Identifiers 2

OtherGRP1391GA · Medicare

Medicaid55001045AGA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 11D0265606

Valdosta Family Medicine Associates · Valdosta, GA

Active · expires Jul 7, 2027

CLIA Number11D0265606

Laboratory TypePhysician Office

Certificate Effective DateJuly 8, 2025

Certificate Expiration DateJuly 7, 2027

Laboratory DirectorStewart A. Williams MD

Laboratory Phone(229) 244-1400

Laboratory LocationValdosta Family Medicine Associates2418 North Oak Street, Valdosta, GA 31602

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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Other Providers at the Same Location NPPES 20

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

CHAELI WISENBAKER PA-C

Physician Assistant (Medical)