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SOUTH GEORGIA MEDICAL ASSOCIATES, PC
NPI 1760427959
Internal Medicine in Valdosta, GA

Active since June 19, 2006CLIA 11D0688118 · Waiver
410 CONNELL RD, VALDOSTA, GA 31602(229) 244-4720 Get Directions Write a Review

NPPES record last updated: March 14, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Georgia Medical Associates, Pc NPPES

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

SOUTH GEORGIA MEDICAL ASSOCIATES, PC (NPI 1760427959) is a healthcare organization registered as an internal medicine in Valdosta, Georgia and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through December 31, 2027 and lists Kathi Bruch, Administrator, as its authorized official.

NPPES Registry Identity

NPI1760427959
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSOUTH GEORGIA MEDICAL ASSOCIATES, PC
Location Address410 CONNELL RDValdosta, GA 31602-1407
Mailing Address410 Connell RdValdosta, GA 31602-1407 · (229) 244-4720
Phone(229) 244-4720
Organization SubpartNo
Authorized OfficialKathi BruchAdministrator · (229) 244-4720
Enumeration DateJune 19, 2006
Last NPPES UpdateMarch 14, 2014
✔ NPI 1760427959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
410 CONNELL RD, Valdosta, GA 31602
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Other Identifiers 2

Medicaid300022100AGA
Medicare ID-Type UnspecifiedGRP376

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 ›

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 11D0688118

South Georgia Medical Associates PC · Valdosta, GA
Active · expires Dec 31, 2027
CLIA Number11D0688118
Laboratory TypePhysician Office
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorMilledge Newton Jr
Laboratory Phone(229) 244-4720
Laboratory LocationSouth Georgia Medical Associates PC410 Connell Road, 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 16

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

JOSEPH S THOMAS M D
Internal Medicine
410 CONNELL RD, STE T
VALDOSTA, GA 31602
Lowndes County (229) 242-9565
VALDOSTA GASTROENTEROLOGY ASSOCIATES, LLC
Internal Medicine (Gastroenterology)
410 CONNELL RD
VALDOSTA, GA 31602
Lowndes County (229) 244-1570
MS. KATHRYN C WATT NPC
Nurse Practitioner (Family)
410 CONNELL RD
VALDOSTA, GA 31602
Lowndes County (229) 244-4720
LABORATORY CORPORATION OF AMERICA
Clinical Medical Laboratory
410 CONNELL RD, SUITE C
VALDOSTA, GA 31602
Lowndes County (229) 671-1207
VAROON KAKAIYA MD
Student in an Organized Health Care Education/Training Program
410 CONNELL RD
VALDOSTA, GA 31602
Lowndes County (229) 242-9565
MILLEDGE C NEWTON JR. MD
Internal Medicine (Pulmonary Disease)
410 CONNELL RD
VALDOSTA, GA 31602
Lowndes County (229) 244-4720
DRIMALYN BURGMAN NP
Nurse Practitioner
410 CONNELL RD
VALDOSTA, GA 31602
Lowndes County (229) 244-4720
WILLIAM DOUGLAS LUKE JR. MD
Internal Medicine (Cardiovascular Disease)
410 CONNELL RD
VALDOSTA, GA 31602
Lowndes County (229) 244-4720

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 Medical Associates, PC's NPI number?

The NPI number for South Georgia Medical Associates, PC is 1760427959. It was assigned to this organization in the NPPES registry on June 19, 2006.

Where is South Georgia Medical Associates, PC located?

South Georgia Medical Associates, PC is located at 410 Connell Rd, Valdosta, GA 31602. The listed phone number is (229) 244-4720.

What is South Georgia Medical Associates, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does South Georgia Medical Associates, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0688118) is associated with this NPI, valid through December 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does South Georgia Medical Associates, PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list South Georgia Medical Associates, 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 South Georgia Medical Associates, PC was last updated on March 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.