SOUTHERN PODIATRY GROUP, PC
NPI 1144352956
Podiatrist - Foot & Ankle Surgery in Valdosta, GA

Active since March 09, 2007
2718 N OAK ST, VALDOSTA, GA 31602(229) 242-3668 Get Directions Write a Review

NPPES record last updated: October 22, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Southern Podiatry Group, Pc NPPES

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

SOUTHERN PODIATRY GROUP, PC (NPI 1144352956), doing business as Valdosta Podiatry Associates, Pc, is a healthcare organization registered as a foot & ankle surgery in Valdosta, Georgia and active in the NPI registry since March 2007. The organization lists Avis Griffin, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1144352956
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameSOUTHERN PODIATRY GROUP, PC
Location Address2718 N OAK STValdosta, GA 31602-1781
Mailing Address2718 N Oak StValdosta, GA 31602-1781
Organization SubpartNo
Authorized OfficialAvis GriffinOffice Manager · (229) 242-3668
Enumeration DateMarch 9, 2007
Last NPPES UpdateOctober 22, 2008
✔ NPI 1144352956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
2718 N OAK ST, Valdosta, GA 31602

Other Names 1

Former Legal Business NameValdosta Podiatry Associates, Pc

Other Identifiers 5

Medicare NSC0266960002GA
Medicare PINCD8901GA
Medicaid300026567CGA
Medicaid300026567AGA
Medicare PINGRP82GA

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern Podiatry Group, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southern Podiatry Group, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1952361024
2718 N OAK ST
Valdosta, GA 31602
(229) 242-3668
✔ PECOS✔ Accepts Medicare0.1 mi

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 Southern Podiatry Group, PC's NPI number?

The NPI number for Southern Podiatry Group, PC is 1144352956. It was assigned to this organization in the NPPES registry on March 9, 2007. The provider was formerly known as Valdosta Podiatry Associates, PC.

Where is Southern Podiatry Group, PC located?

Southern Podiatry Group, PC is located at 2718 N Oak St, Valdosta, GA 31602. The listed phone number is (229) 242-3668.

What is Southern Podiatry Group, PC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Southern Podiatry Group, PC enrolled in Medicare?

Yes. Southern Podiatry Group, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Podiatry Group, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Southern Podiatry Group, PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southern Podiatry Group, PC was last updated on October 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.