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JUSTIN MARK BOOTH AA
NPI 1306090675
Anesthesiologist Assistant in Valdosta, GA

Active since November 12, 2008Accepts Medicare Assignment
2310 N PATTERSON ST, BLDG C, VALDOSTA, GA 31602(229) 244-6852(229) 242-2385 Get Directions Write a Review

NPPES record last updated: November 12, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Justin Mark Booth Aa NPPES

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

JUSTIN MARK BOOTH AA (NPI 1306090675) is an individual anesthesiologist assistant in Valdosta, Georgia, licensed in Georgia (005470) and active in the NPI registry since November 2008. He is affiliated with Sgmc Health and is a graduate of Other (2008).

NPPES Registry Identity

NPI1306090675
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameJUSTIN MARK BOOTHCredential: AA
Location Address2310 N PATTERSON ST, BLDG CValdosta, GA 31602-2568
Mailing Address2310 N Patterson St, Bldg CValdosta, GA 31602-2568 · (229) 244-6852 · Fax (229) 242-2385
Phone(229) 244-6852
Fax(229) 242-2385
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateNovember 12, 2008
✔ NPI 1306090675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License✔ Licensed in GA · 005470
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
2310 N PATTERSON ST, Valdosta, GA 31602
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Other Identifiers 1

Other005470GA · Georgia License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Justin Mark Booth Aa 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.

PECOS PAC ID2365503836
PECOS Enrollment IDI20081203000487

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sgmc Health

Acute Care Hospitals · Valdosta, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110122
Location2501 North Patterson Street, PO Box 1727Valdosta, GA 31602 · Lowndes County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLY DELAYNE JONES LCSW
Social Worker (Clinical)
2310 N PATTERSON ST, SUITE G
VALDOSTA, GA 31602
Lowndes County (229) 244-9688
STEPHANY ANN NORRIS LPC
Counselor (Professional)
2310 N PATTERSON ST, SUITE G
VALDOSTA, GA 31602
Lowndes County (229) 244-9688
SOUTH GEORGIA ORTHOPEDICS, P.C.
Clinic/Center (Medical Specialty)
2310 N PATTERSON ST, BLD. D
VALDOSTA, GA 31602
Lowndes County (229) 247-2482
DR. RAYMOND DERRY CROSBY DO
Orthopaedic Surgery
2310 N PATTERSON ST, BLDG D
VALDOSTA, GA 31602
Lowndes County (229) 247-2482
HUNTER BURTON FLETCHER
Nurse Anesthetist, Certified Registered
2310 N PATTERSON ST
VALDOSTA, GA 31602
Lowndes County (229) 244-6852
SOUTHERN EYE CENTER, PC
Specialist
2310 N PATTERSON ST, SUITE B
VALDOSTA, GA 31602
Lowndes County (229) 247-2020
DUSTIN GOFF CRNA
Nurse Anesthetist, Certified Registered
2310 N PATTERSON ST, SUITE C
VALDOSTA, GA 31602
Lowndes County (229) 244-6852
DR. JULIO RAFFAEL MEDINA M.D.
Anesthesiology
2310 N PATTERSON ST
VALDOSTA, GA 31602
Lowndes County (229) 244-6842

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 Justin Booth's NPI number?

The NPI number for Justin Booth is 1306090675. It was assigned to this individual provider in the NPPES registry on November 12, 2008.

Where is Justin Booth located?

Justin Booth practices at 2310 N Patterson St Bldg C, Valdosta, GA 31602. The listed phone number is (229) 244-6852.

What is Justin Booth's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Justin Booth enrolled in Medicare?

Yes. Justin Booth 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.

What insurance does Justin Booth accept?

Health plans from Alliant Health Plans, Inc. list Justin Booth 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 Justin Booth affiliated with any hospitals?

According to CMS data, Justin Booth is affiliated with Sgmc Health.

When was this NPI record last updated?

The NPPES record for Justin Booth was last updated on November 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.