1. Home
  2. Directory
  3. Georgia
  4. Valdosta
  5. Family Medicine
  6. NPI Profile

BENNETT P HOGAN MD PC
NPI 1134184864
Family Medicine in Valdosta, GA

Active since April 18, 2006CLIA 11D0989043 · Waiver
117 W NORTHSIDE DR, VALDOSTA, GA 31602(229) 333-0616(229) 333-0647 Get Directions Write a Review

NPPES record last updated: March 19, 2013. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Bennett P Hogan Md Pc NPPES

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

BENNETT P HOGAN MD PC (NPI 1134184864) is a healthcare organization registered as a family medicine in Valdosta, Georgia and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through July 15, 2027 and lists Bennett Pate Hogan, President, as its authorized official.

NPPES Registry Identity

NPI1134184864
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBENNETT P HOGAN MD PC
Location Address117 W NORTHSIDE DRValdosta, GA 31602-1700
Mailing Address117 W Northside DrValdosta, GA 31602-1754 · (229) 333-0616 · Fax (229) 333-0647
Phone(229) 333-0616
Fax(229) 333-0647
Organization SubpartNo
Authorized OfficialBennett Pate HoganPresident · (229) 333-0616
Enumeration DateApril 18, 2006
Last NPPES UpdateMarch 19, 2013
✔ NPI 1134184864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 050024
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.
117 W NORTHSIDE DR, Valdosta, GA 31602
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINH12511GA
Medicaid000906177AGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Waiver 11D0989043

Bennett P Hogan MD PC · Valdosta, GA
Active · expires Jul 15, 2027
CLIA Number11D0989043
Laboratory TypePhysician Office
Certificate Effective DateJuly 16, 2025
Certificate Expiration DateJuly 15, 2027
Laboratory DirectorBennett P. Hogan
Laboratory Phone(229) 333-0616
Laboratory LocationBennett P Hogan MD PC117 West Northside Drive, Valdosta, GA 31602
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

LINDSEY C MCCLAIN NP
Nurse Practitioner (Family)
117 W NORTHSIDE DR
VALDOSTA, GA 31602
Lowndes County (229) 242-6061
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 Bennett P Hogan MD PC's NPI number?

The NPI number for Bennett P Hogan MD PC is 1134184864. It was assigned to this organization in the NPPES registry on April 18, 2006.

Where is Bennett P Hogan MD PC located?

Bennett P Hogan MD PC is located at 117 W Northside Dr, Valdosta, GA 31602. The listed phone number is (229) 333-0616.

What is Bennett P Hogan MD PC's specialty?

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

Does Bennett P Hogan MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0989043) is associated with this NPI, valid through July 15, 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 Bennett P Hogan MD PC was last updated on March 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.