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JOSE MEDINA MD PC
NPI 1407047269
Clinic/Center - Multi-Specialty in Valdosta, GA

Active since August 07, 2007CLIA 11D0933792 · Waiver
3334 GREYSTONE WAY, VALDOSTA, GA 31605(229) 247-1667(229) 247-3456 Get Directions Write a Review

NPPES record last updated: June 15, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jose Medina Md Pc NPPES

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

JOSE MEDINA MD PC (NPI 1407047269) is a healthcare organization registered as a multi-specialty in Valdosta, Georgia and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through January 18, 2027 and lists Jose Medina, Owner, as its authorized official.

NPPES Registry Identity

NPI1407047269
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameJOSE MEDINA MD PC
Location Address3334 GREYSTONE WAYValdosta, GA 31605-1096
Mailing AddressPo Box 3550Valdosta, GA 31604-3550 · (229) 247-1667 · Fax (229) 247-3456
Phone(229) 247-1667
Fax(229) 247-3456
Organization SubpartNo
Authorized OfficialJose MedinaOwner · (229) 247-1667
Enumeration DateAugust 7, 2007
Last NPPES UpdateJune 15, 2010
✔ NPI 1407047269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License✔ Licensed in GA · 041166
3334 GREYSTONE WAY, Valdosta, GA 31605
Open in Google Maps ↗

Other Identifiers 3

Medicare PING17343GA
Medicare UPINGRP4456GA
Medicaid00686507CGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

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 11D0933792

Jose Medina MD · Valdosta, GA
Active · expires Jan 18, 2027
CLIA Number11D0933792
Laboratory TypePhysician Office
Certificate Effective DateJanuary 19, 2025
Certificate Expiration DateJanuary 18, 2027
Laboratory DirectorJose Medina
Laboratory Phone(229) 247-1667
Laboratory LocationJose Medina MD3334 Greystone Way, 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.

VALDOSTA ALLERGY, ASTHMA, & IMMUNOLOGY, PC
Allergy & Immunology (Allergy)
3334 GREYSTONE WAY
VALDOSTA, GA 31605
Lowndes County (229) 247-1667
DR. JOSE MEDINA MD
Internal Medicine (Pulmonary Disease)
3334 GREYSTONE WAY
VALDOSTA, GA 31605
Lowndes County (229) 247-1667
JUAN C GUARDERAS MD
Allergy & Immunology
3334 GREYSTONE WAY
VALDOSTA, GA 31605
Lowndes County (229) 247-1667

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 Jose Medina MD PC's NPI number?

The NPI number for Jose Medina MD PC is 1407047269. It was assigned to this organization in the NPPES registry on August 7, 2007.

Where is Jose Medina MD PC located?

Jose Medina MD PC is located at 3334 Greystone Way, Valdosta, GA 31605. The listed phone number is (229) 247-1667.

What is Jose Medina MD PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Jose Medina MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0933792) is associated with this NPI, valid through January 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jose Medina MD PC 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 Jose Medina MD PC 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.

When was this NPI record last updated?

The NPPES record for Jose Medina MD PC was last updated on June 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.