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GCSU SPORTS MEDICINE
NPI 1154758001
Clinic/Center - Student Health in Milledgeville, GA

Active since October 08, 2013CLIA 11D0920876 · Waiver
120 W CAMPUS DR CBX 091, MILLEDGEVILLE, GA 31061(478) 445-5288(478) 445-3142 Get Directions Write a Review

NPPES record last updated: October 8, 2013. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Gcsu Sports Medicine NPPES

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

GCSU SPORTS MEDICINE (NPI 1154758001) is a healthcare organization registered as a student health in Milledgeville, Georgia and active in the NPI registry since October 2013. The organization holds a CLIA Waiver certificate valid through May 31, 2027 and lists Paul Jones, Vp Of Administration & Operations, as its authorized official.

NPPES Registry Identity

NPI1154758001
Entity TypeOrganization
Primary Taxonomy261QS1000X
Legal Business NameGEORGIA COLLEGE & STATE UNIVERSITY
Location Address120 W CAMPUS DR CBX 091Milledgeville, GA 31061-1990
Mailing Address120 W Campus Dr Cbx 091Milledgeville, GA 31061-1990 · (478) 445-5288 · Fax (478) 445-3142
Phone(478) 445-5288
Fax(478) 445-3142
Organization SubpartNo
Authorized OfficialPaul JonesVp Of Administration & Operations · (478) 445-5148
Enumeration DateOctober 8, 2013
✔ NPI 1154758001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Student HealthAmbulatory Health Care Facilities
Taxonomy Code261QS1000X
120 W CAMPUS DR CBX 091, Milledgeville, GA 31061
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Other Names 1

Doing Business AsGcsu Sports Medicine

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 11D0920876

Georgia College & State University Student Health Services · Milledgeville, GA
Active · expires May 31, 2027
CLIA Number11D0920876
Laboratory TypeSchool/Student Health Service
Certificate Effective DateJune 1, 2025
Certificate Expiration DateMay 31, 2027
Laboratory DirectorMichael A. Duke
Laboratory Phone(478) 445-5288
Laboratory LocationGeorgia College & State University Student Health Services134 West Campus Drive, Cbx 091, Milledgeville, GA 31061
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Georgia College & State University's NPI number?

The NPI number for Georgia College & State University is 1154758001. It was assigned to this organization in the NPPES registry on October 8, 2013. The provider is doing business as Gcsu Sports Medicine.

Where is Georgia College & State University located?

Georgia College & State University is located at 120 W Campus Dr Cbx 091, Milledgeville, GA 31061. The listed phone number is (478) 445-5288.

What is Georgia College & State University's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Student Health, with taxonomy code 261QS1000X.

Does Georgia College & State University hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0920876) is associated with this NPI, valid through May 31, 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 Georgia College & State University was last updated on October 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.