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SGMC AFFILIATED SERVICES LLC
NPI 1114740362
Clinic/Center - Multi-Specialty in Valdosta, GA

Active since November 06, 2024
2501 N PATTERSON ST, VALDOSTA, GA 31602(229) 433-1000 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 4, 2025, Mar 28, 2025, Nov 6, 2024 (3 updates tracked since 2024).

About Sgmc Affiliated Services Llc NPPES

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

SGMC AFFILIATED SERVICES LLC (NPI 1114740362) is a healthcare organization registered as a multi-specialty in Valdosta, Georgia and active in the NPI registry since November 2024. The organization maintains 3 additional practice locations and lists Olaf Faeskorn, Vp Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1114740362
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameSGMC AFFILIATED SERVICES LLC
Location Address2501 N PATTERSON STValdosta, GA 31602-1735
Mailing AddressPo Box 9Valdosta, GA 31603-0009
Phone(229) 433-1000
Organization SubpartNo
Authorized OfficialOlaf FaeskornVp Revenue Cycle · (229) 259-4749
Enumeration DateNovember 6, 2024
Last NPPES UpdateNovember 4, 20253 updates tracked since enumeration
NPPES CertifiedNovember 4, 2025
✔ NPI 1114740362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
2501 N PATTERSON ST, Valdosta, GA 31602
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Secondary Practice Locations 3

Location 14280 N Valdosta RdValdosta, GA 31602-6814 · Phone (229) 433-8000
Location 24256 N Valdosta RdValdosta, GA 31602-6814 · Phone (229) 433-8200
Location 3520 Griffin Ave Ste AValdosta, GA 31601-6331 · Phone (229) 433-7340 · Fax (229) 433-7349

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sgmc Affiliated Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

61

Medicare enrollment records show 61 clinicians reassign Medicare billing to Sgmc Affiliated Services LLC, which bills Medicare for the services they deliver. Of these, 12 practice at this address and 29 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Nurse Practitioner32
Emergency Medicine13
Diagnostic Radiology10
Family Practice4
Hospitalist1
Physical Therapist in Private Practice1

Nearest to this location (20)

See all 61
Carter Adams, NP-BC
Nurse Practitioner
NPI 1497535637
2501 N PATTERSON ST
Valdosta, GA 31602
(229) 433-1000
✔ PECOS✔ Accepts MedicareSame address
Charmaine Martin, FNP
Nurse Practitioner
NPI 1619723160
2501 N PATTERSON ST
Valdosta, GA 31602
(229) 433-1110
✔ PECOS✔ Accepts MedicareSame address
Janice Irvin, FNP-C
Nurse Practitioner
NPI 1760961155
2501 N PATTERSON ST
Valdosta, GA 31602
(229) 333-1110
✔ PECOS✔ Accepts MedicareSame address
Stacy Beck
Nurse Practitioner
NPI 1730621582
2501 N PATTERSON ST
Valdosta, GA 31602
(229) 333-1000
✔ PECOSSame address
Eric Edgerton, MD
Emergency Medicine
NPI 1700248788
2501 N PATTERSON ST
Valdosta, GA 31602
(229) 433-1000
✔ PECOS✔ Accepts MedicareSame address
Julia Goff, NP
Nurse Practitioner
NPI 1487309514
2501 N PATTERSON ST
Valdosta, GA 31602
(229) 259-4678
✔ PECOS✔ Accepts MedicareSame address
Robert Green, M.D.
Diagnostic Radiology
NPI 1558386706
2501 N PATTERSON ST
Valdosta, GA 31602
(229) 433-1000
✔ PECOS✔ Accepts MedicareSame address
Jason Langley, FNP-BC
Nurse Practitioner
NPI 1194471060
2501 N PATTERSON ST
Valdosta, GA 31602
(229) 259-4678
✔ PECOS✔ Accepts MedicareSame address
Davis Lester, M.D.
Emergency Medicine
NPI 1306208558
2501 N PATTERSON ST
Valdosta, GA 31602
(229) 433-1000
✔ PECOS✔ Accepts MedicareSame address
Thomas Lott, M.D.
Diagnostic Radiology
NPI 1255312146
2501 N PATTERSON ST
Valdosta, GA 31602
(229) 433-1000
✔ PECOS✔ Accepts MedicareSame address
Wesley Roney, MD
Diagnostic Radiology
NPI 1427008549
2501 N PATTERSON ST
Valdosta, GA 31602
(229) 443-1000
✔ PECOS✔ Accepts MedicareSame address
Wayne Wright, M.D.
Diagnostic Radiology
NPI 1639150741
2501 N PATTERSON ST
Valdosta, GA 31602
(229) 333-9729
✔ PECOS✔ Accepts MedicareSame address
David Jackson, NP
Nurse Practitioner
NPI 1215079983
2301 N ASHLEY ST
Valdosta, GA 31602
(229) 270-2403
✔ PECOS✔ Accepts Medicare0.2 mi
Carmen Duncan, NP
Nurse Practitioner
NPI 1659154011
2418 N OAK ST STE G
Valdosta, GA 31602
(229) 588-4688
✔ PECOS✔ Accepts Medicare0.4 mi
Hunter Clanton, FNP-C
Nurse Practitioner
NPI 1447967575
2412 N OAK ST
Valdosta, GA 31602
(229) 244-1400
✔ PECOS✔ Accepts Medicare0.4 mi
Gary-Wayne Collins, FNP-C
Nurse Practitioner
NPI 1164205183
2412 N OAK ST
Valdosta, GA 31602
(229) 244-1400
✔ PECOS✔ Accepts Medicare0.4 mi
Christopher Poore, FNP-C
Nurse Practitioner
NPI 1871220525
2412 N OAK ST
Valdosta, GA 31602
(229) 244-1400
✔ PECOS✔ Accepts Medicare0.4 mi
Lindsey Lawhorn
Nurse Practitioner
NPI 1992335855
2412 N OAK ST
Valdosta, GA 31602
(229) 244-1400
✔ PECOS0.4 mi
Taylor Fiveash, FNP-C
Nurse Practitioner
NPI 1962922427
101 W NORTHISDE DR, BLDG G
Valdosta, GA 31602
(912) 384-0600
✔ PECOS✔ Accepts Medicare0.5 mi
Beverly Kirk, NP
Nurse Practitioner
NPI 1588803092
2707 N BARACK OBAMA BLVD
Valdosta, GA 31602
(229) 316-8116
✔ PECOS✔ Accepts Medicare1.5 mi
See all 61 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Sgmc Affiliated Services LLC's NPI number?

The NPI number for Sgmc Affiliated Services LLC is 1114740362. It was assigned to this organization in the NPPES registry on November 6, 2024.

Where is Sgmc Affiliated Services LLC located?

Sgmc Affiliated Services LLC is located at 2501 N Patterson St, Valdosta, GA 31602. The listed phone number is (229) 433-1000.

What is Sgmc Affiliated Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Sgmc Affiliated Services LLC enrolled in Medicare?

Yes. Sgmc Affiliated Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sgmc Affiliated Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 61 clinicians in 6 Medicare specialties reassign their Medicare billing to Sgmc Affiliated Services LLC. 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 (32), Emergency Medicine (13) and Diagnostic Radiology (10). Of these, 12 practice at this address and 29 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sgmc Affiliated Services LLC was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.