VINCENT VALENCIA M.D.
NPI 1134359243
Family Medicine in Adel, GA
About Vincent Valencia M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VINCENT VALENCIA M.D. (NPI 1134359243) is an individual family medicine provider in Adel, Georgia, licensed in Georgia (68751) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Tift Regional Medical Center, and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Vincent Valencia M.d. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Vincent Valencia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Adel, GA 31620
- Reassigned Medicare billing, Georgia enrollment
- 380 clinicians in this Medicare group
Adel, GA 31620
- Reassigned Medicare billing, Georgia enrollment
- 337 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Tift Regional Medical Center
Acute Care Hospitals · Tifton, GACook Medical Center A Campus Of Tift Reg Med Ctr
Acute Care Hospitals · Adel, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 31620 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 7
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Vincent Valencia's NPI number?
The NPI number for Vincent Valencia is 1134359243. It was assigned to this individual provider in the NPPES registry on July 23, 2009.
Where is Vincent Valencia located?
Vincent Valencia practices at 172 Mj Taylor Rd, Adel, GA 31620. The listed phone number is (229) 896-8500.
What is Vincent Valencia's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Vincent Valencia enrolled in Medicare?
Yes. Vincent Valencia 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.
Which organizations bill Medicare for Vincent Valencia's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Vincent Valencia reassigns Medicare benefits to 2 organizations: Tift Regional Health System Inc (Adel, GA) and Tift Regional Health System, Inc. (Adel, GA). Each 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 Vincent Valencia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Vincent Valencia 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 Vincent Valencia 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 Vincent Valencia affiliated with any hospitals?
According to CMS data, Vincent Valencia is affiliated with Tift Regional Medical Center and Cook Medical Center A Campus Of Tift Reg Med Ctr.
When was this NPI record last updated?
The NPPES record for Vincent Valencia was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.
# Vincent Valencia, M.D. · NPI 1134359243
Family Medicine physician in Adel, Georgia. Individual provider, active in the CMS NPPES registry since July 23, 2009.
## Identity
- **NPI:** 1134359243 (Entity type: Individual)
- **Enumerated:** July 23, 2009
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 68751 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 172 MJ TAYLOR RD, Adel, GA 31620-3497
- **Phone:** (229) 896-8500 · **Fax:** (229) 896-8503
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Tift Regional Health System Inc (NPI 1750215323, Adel, GA); Tift Regional Health System, Inc. (NPI 1871816918, Adel, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** September 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1134359243) · Data from the CMS NPPES public registry.