VALDOSTA FAMILY MEDICINE
NPI 1114003779
Family Medicine in Valdosta, GA
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
Specialties & Licenses 8
Other Names 1
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Valdosta Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
38Medicare enrollment records show 38 clinicians reassign Medicare billing to Valdosta Family Medicine, which bills Medicare for the services they deliver. Of these, 22 practice at this address and 33 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 38Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, GAFrequently 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 Valdosta Family Medicine Associates, P.C.'s NPI number?
The NPI number for Valdosta Family Medicine Associates, P.C. is 1114003779. It was assigned to this organization in the NPPES registry on October 27, 2006. The provider is doing business as Valdosta Family Medicine.
Where is Valdosta Family Medicine Associates, P.C. located?
Valdosta Family Medicine Associates, P.C. is located at 2412 N Oak St, Valdosta, GA 31602. The listed phone number is (229) 244-1400.
What is Valdosta Family Medicine Associates, P.C.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Valdosta Family Medicine Associates, P.C. enrolled in Medicare?
Yes. Valdosta Family Medicine Associates, P.C. is registered in the Medicare PECOS enrollment system.
When is Valdosta Family Medicine Associates, P.C.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Georgia, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Valdosta Family Medicine Associates, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 38 clinicians in 6 Medicare specialties reassign their Medicare billing to Valdosta Family Medicine Associates, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (24), Family Practice (6) and Diagnostic Radiology (5). Of these, 22 practice at this address and 33 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Valdosta Family Medicine Associates, P.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 11D0265606) is associated with this NPI, valid through July 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Valdosta Family Medicine Associates, P.C. was last updated on December 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Valdosta Family Medicine · NPI 1114003779
Family Medicine organization in Valdosta, Georgia. Organization record, active in the CMS NPPES registry since October 27, 2006.
## Identity
- **NPI:** 1114003779 (Entity type: Organization)
- **Enumerated:** October 27, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Valdosta Family Medicine Associates, P.c.
- **Organization subpart:** No
- **Authorized official:** Craig Bishop, MANAGING PARTNER
## Practice location
- **Address:** 2412 N OAK ST, Valdosta, GA 31602-2567
- **Phone:** (229) 244-1400 · **Fax:** (229) 244-5512
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Georgia, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 38 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (24), Family Practice (6), Diagnostic Radiology (5); 22 practice at this address and 33 within 10 miles; [full list](https://npiprofile.com/npi/1114003779/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 28, 2021
- **Other identifiers:** Other GRP1391 (GA); Medicaid 55001045A (GA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1114003779) · Data from the CMS NPPES public registry.