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SGMC PHYSICIAN NETWORK INC
NPI 1417597170
Clinic/Center - Multi-Specialty in Valdosta, GA

Active since January 10, 2020
2501 N PATTERSON ST, VALDOSTA, GA 31602(229) 433-1997(229) 433-1998 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 28, 2022, Jan 10, 2020 (2 updates tracked since 2020).

About Sgmc Physician Network Inc NPPES

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

SGMC PHYSICIAN NETWORK INC (NPI 1417597170) is a healthcare organization registered as a multi-specialty in Valdosta, Georgia and active in the NPI registry since January 2020. The organization maintains 26 additional practice locations and lists Julie Hodges, Controller, as its authorized official.

NPPES Registry Identity

NPI1417597170
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameSGMC PHYSICIAN NETWORK INC
Location Address2501 N PATTERSON STValdosta, GA 31602-1735
Mailing AddressPo Box 9Valdosta, GA 31603-0009 · (229) 245-6232 · Fax (229) 245-6976
Phone(229) 433-1997
Fax(229) 433-1998
Organization SubpartNo
Authorized OfficialJulie HodgesController · (229) 259-4140
Enumeration DateJanuary 10, 2020
Last NPPES UpdateJuly 28, 20222 updates tracked since enumeration
NPPES CertifiedJuly 18, 2022
✔ NPI 1417597170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
2501 N PATTERSON ST, Valdosta, GA 31602
Open in Google Maps ↗

Secondary Practice Locations 26

Location 12409 N. Patterson Street, Suite 230Valdosta, GA 31602-2512 · Phone (229) 259-4369 · Fax (229) 259-4370
Location 23018 N. Patterson StreetValdosta, GA 31602-1711 · Phone (229) 433-7200 · Fax (229) 247-4031
Location 32409 N Patterson St Ste 310Valdosta, GA 31602-2512 · Phone (229) 433-8160 · Fax (229) 244-2707
Location 4209 E. Main StreetHahira, GA 31632-1121 · Phone (229) 433-8100
Location 54370 Kings Way, Suite EValdsota, GA 31602-6905 · Phone (229) 433-8181
Location 64256 N Valdosta RdValdosta, GA 31602-6814 · Phone (229) 433-8200 · Fax (229) 433-8403
Location 74280 N Valdosta RdValdosta, GA 31602-6814 · Phone (229) 249-5437 · Fax (229) 249-5088
Location 83312 N Oak St Ste F&gValdosta, GA 31605-1065 · Phone (229) 433-8526 · Fax (229) 433-8530
Location 92409 N Patterson St Ste 210Valdosta, GA 31602-2512 · Phone (229) 433-6002 · Fax (229) 433-6003
Location 104274 N Valdosta RdValdosta, GA 31602-6814 · Phone (229) 242-1234 · Fax (229) 247-8110
Location 112417 N Patterson Street, Suite 120BValdosta, GA 31602 · Phone (229) 433-4350 · Fax (229) 433-4360
Location 12116 W Thigpen Ave Ste DLakeland, GA 31635-1011 · Phone (229) 482-8601 · Fax (229) 482-8605
Location 131225 E McPherson AveNashville, GA 31639-2351 · Phone (229) 433-8267 · Fax (229) 543-1006
Location 14520 Griffin AvenueValdosta, GA 31601-6331 · Phone (229) 433-7350 · Fax (229) 249-6301
Location 152409 N. Patterson Street, Suite 200Valdosta, GA 31602-2512 · Phone (229) 333-1711 · Fax (229) 333-1719
Location 162407 N. Oak Street, Building FValdosta, GA 31602-1780 · Phone (229) 242-4996 · Fax (229) 242-0898
Location 172409 N. Patterson Street, Suite 270Valdosta, GA 31602-2512 · Phone (229) 433-8515 · Fax (229) 433-8524
Location 183300 Greystone WayValdosta, GA 31605-1096 · Phone (229) 247-7700 · Fax (229) 247-2666
Location 19410 Connell Rd Ste TValdosta, GA 31602-1899 · Phone (229) 242-9565 · Fax (229) 242-1725
Location 202418 N Oak St Ste BValdosta, GA 31602-2575 · Phone (229) 433-4310 · Fax (229) 433-4311
Location 212417 N Patterson Street, Suite A110Valdosta, GA 31602-2512 · Phone (229) 433-4310 · Fax (229) 433-4311
Location 22241 Lakes BlvdLake Park, GA 31636-5007 · Phone (229) 375-5449 · Fax (229) 433-4836
Location 23603 E Dennis AveNashville, GA 31639-2510 · Phone (229) 433-8730 · Fax (229) 433-8748
Location 242418 N Oak St Ste B-2Valdosta, GA 31602-2576 · Phone (229) 433-1905 · Fax (229) 433-1913
Location 253207 Country Club RdValdosta, GA 31605-1029 · Phone (229) 242-8480 · Fax (855) 875-3207
Location 262704 N Oak St Bldg C2Valdosta, GA 31602-1795 · Phone (229) 469-7729 · Fax (229) 433-4836

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sgmc Physician Network Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

181

Medicare enrollment records show 181 clinicians reassign Medicare billing to Sgmc Physician Network Inc, which bills Medicare for the services they deliver. Of these, 17 practice at this address and 97 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 30

Nurse Practitioner54
Obstetrics/Gynecology31
Internal Medicine15
Family Practice13
General Surgery10
Cardiovascular Disease (Cardiology)7
Orthopedic Surgery5
Vascular Surgery5
22 other specialties41

Nearest to this location (20)

See all 181
Jeff Anucha, M.D.
Gastroenterology
NPI 1942652524
2501 N PATTERSON ST
Valdosta, GA 31602
(229) 433-1000
✔ PECOS✔ Accepts MedicareSame address
Matthew Brown, MD
Infectious Disease
NPI 1275916827
2501 N PATTERSON ST
Valdosta, GA 31602
(410) 350-3565
✔ PECOS✔ Accepts MedicareSame address
Cheryl Chadwick, RN, NP-C
Nurse Practitioner
NPI 1952972259
2501 N PATTERSON ST
Valdosta, GA 31602
(229) 333-1714
✔ PECOS✔ Accepts MedicareSame address
Steven Dawson, M.D.
Neurology
NPI 1578605259
2501 N PATTERSON ST
Valdosta, GA 31602
(229) 433-1000
✔ PECOS✔ Accepts MedicareSame address
Jason Langley, FNP-BC
Nurse Practitioner
NPI 1194471060
2501 N PATTERSON ST
Valdosta, GA 31602
(229) 259-4678
✔ PECOS✔ Accepts MedicareSame address
Amrendra Mandal
Gastroenterology
NPI 1518480250
2501 N PATTERSON ST
Valdosta, GA 31602
(229) 433-1000
✔ PECOS✔ Accepts MedicareSame address
Stacey Newsome
Nurse Practitioner
NPI 1497390116
2501 N PATTERSON ST
Valdosta, GA 31602
(229) 333-1000
✔ PECOS✔ Accepts MedicareSame address
Brandon Rockwell, MD
Internal Medicine
NPI 1740967082
2501 N PATTERSON ST
Valdosta, GA 31602
(229) 433-1000
✔ PECOS✔ Accepts MedicareSame address
Bernard Wortman, FNP-C
Nurse Practitioner
NPI 1386181238
2501 N PATTERSON ST
Valdosta, GA 31602
(706) 294-1055
✔ PECOS✔ Accepts MedicareSame address
George Bchech, MD
Infectious Disease
NPI 1184233439
2501 N PATTERSON ST
Valdosta, GA 31602
(229) 433-1000
✔ PECOS✔ Accepts MedicareSame address
Roohi Farooq
Neurology
NPI 1982224622
2501 N PATTERSON ST
Valdosta, GA 31602
(229) 259-4106
✔ PECOS✔ Accepts MedicareSame address
Mohab Hassib, MBBS
Internal Medicine
NPI 1649822768
2501 N PATTERSON ST
Valdosta, GA 31602
(229) 433-1000
✔ PECOS✔ Accepts MedicareSame address
Katelin Mcleod, NP-C
Nurse Practitioner
NPI 1407539620
2501 N PATTERSON ST
Valdosta, GA 31602
(229) 433-1000
✔ PECOS✔ Accepts MedicareSame address
Katlyn Moore
Nurse Practitioner
NPI 1083591176
2501 N PATTERSON ST
Valdosta, GA 31602
(229) 433-1000
✔ PECOS✔ Accepts MedicareSame address
Justin Owens, DO
Internal Medicine
NPI 1093465064
2501 N PATTERSON ST
Valdosta, GA 31602
(229) 433-1000
✔ PECOS✔ Accepts MedicareSame address
Dhaval Patel, DO
Internal Medicine
NPI 1104288927
2501 N PATTERSON ST
Valdosta, GA 31602
(229) 433-3417
✔ PECOSSame address
Allison Rupp, DO
Internal Medicine
NPI 1881269835
2501 N PATTERSON ST
Valdosta, GA 31602
(229) 433-1000
✔ PECOS✔ Accepts MedicareSame address
Kevin Keith, D.O.
Orthopedic Surgery
NPI 1033378963
2417 N PATTERSON ST
Valdosta, GA 31602
(229) 433-1861
✔ PECOS✔ Accepts Medicare0.1 mi
John Buchanan, MD
General Surgery
NPI 1063093078
2409 N PATTERSON ST STE 200
Valdosta, GA 31602
(229) 333-1711
✔ PECOS0.2 mi
William Mulligan, FNP-BC
Nurse Practitioner
NPI 1023868999
2409 N PATTERSON ST # F3
Valdosta, GA 31602
(229) 433-8160
✔ PECOS✔ Accepts Medicare0.2 mi
See all 181 clinicians

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 Sgmc Physician Network Inc's NPI number?

The NPI number for Sgmc Physician Network Inc is 1417597170. It was assigned to this organization in the NPPES registry on January 10, 2020.

Where is Sgmc Physician Network Inc located?

Sgmc Physician Network Inc is located at 2501 N Patterson St, Valdosta, GA 31602. The listed phone number is (229) 433-1997.

What is Sgmc Physician Network Inc's specialty?

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

Is Sgmc Physician Network Inc enrolled in Medicare?

Yes. Sgmc Physician Network Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sgmc Physician Network Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 181 clinicians in 30 Medicare specialties reassign their Medicare billing to Sgmc Physician Network Inc. 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. The largest specialties are Nurse Practitioner (54), Obstetrics/Gynecology (31) and Internal Medicine (15). Of these, 17 practice at this address and 97 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Sgmc Physician Network Inc accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Sgmc Physician Network Inc 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 Sgmc Physician Network Inc was last updated on July 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.