VALDOSTA MEDICAL CLINIC
NPI 1538200035
Clinic/Center - Multi-Specialty in Valdosta, GA
About Valdosta Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VALDOSTA MEDICAL CLINIC (NPI 1538200035) is a healthcare organization registered as a multi-specialty in Valdosta, Georgia and active in the NPI registry since February 2007. The organization lists Robin Bush, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Valdosta Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
14Medicare enrollment records show 14 clinicians reassign Medicare billing to Valdosta Medical Clinic, which bills Medicare for the services they deliver. Of these, 8 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (14)
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 Valdosta Medical Clinic's NPI number?
The NPI number for Valdosta Medical Clinic is 1538200035. It was assigned to this organization in the NPPES registry on February 9, 2007.
Where is Valdosta Medical Clinic located?
Valdosta Medical Clinic is located at 3207 Country Club Dr, Valdosta, GA 31605. The listed phone number is (229) 242-8480.
What is Valdosta Medical Clinic's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Valdosta Medical Clinic enrolled in Medicare?
Yes. Valdosta Medical Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Valdosta Medical Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 4 Medicare specialties reassign their Medicare billing to Valdosta Medical Clinic. 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 Internal Medicine (7), Cardiovascular Disease (Cardiology) (3) and Nurse Practitioner (3). Of these, 8 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Valdosta Medical Clinic was last updated on January 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Valdosta Medical Clinic · NPI 1538200035
Multi-Specialty organization in Valdosta, Georgia. Organization record, active in the CMS NPPES registry since February 9, 2007.
## Identity
- **NPI:** 1538200035 (Entity type: Organization)
- **Enumerated:** February 9, 2007
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Robin Bush, MANAGER
## Practice location
- **Address:** 3207 COUNTRY CLUB DR, Valdosta, GA 31605-1029
- **Phone:** (229) 242-8480 · **Fax:** (229) 241-0252
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 14 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (7), Cardiovascular Disease (Cardiology) (3), Nurse Practitioner (3); 8 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 29, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1538200035) · Data from the CMS NPPES public registry.