SOUTH GEORGIA VEIN CENTERS LLC
NPI 1669405452
Surgery - Vascular Surgery in Valdosta, GA
About South Georgia Vein Centers Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH GEORGIA VEIN CENTERS LLC (NPI 1669405452) is a healthcare organization registered as a vascular surgery in Valdosta, Georgia and active in the NPI registry since July 2006. The organization lists Gregory D Martin, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
South Georgia Vein Centers Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to South Georgia Vein Centers LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 South Georgia Vein Centers LLC's NPI number?
The NPI number for South Georgia Vein Centers LLC is 1669405452. It was assigned to this organization in the NPPES registry on July 8, 2006.
Where is South Georgia Vein Centers LLC located?
South Georgia Vein Centers LLC is located at 3338 Country Club Rd # M, Valdosta, GA 31605. The listed phone number is (229) 259-9666.
What is South Georgia Vein Centers LLC's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.
Is South Georgia Vein Centers LLC enrolled in Medicare?
Yes. South Georgia Vein Centers LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through South Georgia Vein Centers LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to South Georgia Vein Centers LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for South Georgia Vein Centers LLC was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# South Georgia Vein Centers Llc · NPI 1669405452
Vascular Surgery organization in Valdosta, Georgia. Organization record, active in the CMS NPPES registry since July 8, 2006.
## Identity
- **NPI:** 1669405452 (Entity type: Organization)
- **Enumerated:** July 8, 2006
- **Primary specialty:** Surgery - Vascular Surgery · taxonomy 2086S0129X
- **Organization subpart:** No
- **Authorized official:** Gregory Martin, PRESIDENT
## Practice location
- **Address:** 3338 COUNTRY CLUB RD # M, Valdosta, GA 31605-1044
- **Phone:** (229) 259-9666 · **Fax:** (229) 253-0064
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (General Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1669405452) · Data from the CMS NPPES public registry.