SOUTH GEORGIA MEDICAL ASSOCIATES, PC
NPI 1760427959
Internal Medicine in Valdosta, GA
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
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted 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)
South Georgia Medical Associates, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to South Georgia Medical Associates, PC, which bills Medicare for the services they deliver. Of these, 7 practice at this address. They are listed nearest first.
Clinicians, nearest first (8)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, GAFrequently 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.
Is South Georgia Medical Associates, PC enrolled in Medicare?
Yes. South Georgia Medical Associates, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through South Georgia Medical Associates, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 4 Medicare specialties reassign their Medicare billing to South Georgia Medical Associates, PC. 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 (3), Cardiovascular Disease (Cardiology) (2) and Pulmonary Disease (2). Of these, 7 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# South Georgia Medical Associates, Pc · NPI 1760427959
Internal Medicine organization in Valdosta, Georgia. Organization record, active in the CMS NPPES registry since June 19, 2006.
## Identity
- **NPI:** 1760427959 (Entity type: Organization)
- **Enumerated:** June 19, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Kathi Bruch, ADMINISTRATOR
## Practice location
- **Address:** 410 CONNELL RD, Valdosta, GA 31602-1407
- **Phone:** (229) 244-4720
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Cardiovascular Disease (Cardiology) (2), Pulmonary Disease (2); 7 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 14, 2014
- **Other identifiers:** Medicaid 300022100A (GA); Medicare ID-Type Unspecified GRP376
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1760427959) · Data from the CMS NPPES public registry.