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SOUTHERN OB GYN ASSOCIATES P C
NPI 1801951454
Obstetrics & Gynecology in Valdosta, GA

Active since December 26, 2006CLIA 11D0677774 · Certificate of Compliance
220 NORTHSIDE DR, VALDOSTA, GA 31602(229) 241-2800(229) 241-0454 Get Directions Write a Review

NPPES record last updated: June 18, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southern Ob Gyn Associates P C NPPES

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

SOUTHERN OB GYN ASSOCIATES P C (NPI 1801951454) is a healthcare organization registered as an obstetrics & gynecology in Valdosta, Georgia and active in the NPI registry since December 2006. The organization holds a CLIA Certificate of Compliance certificate valid through July 24, 2027 and lists Randy J Johnson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1801951454
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameSOUTHERN OB GYN ASSOCIATES P C
Location Address220 NORTHSIDE DRValdosta, GA 31602-1858
Mailing Address220 Northside DrValdosta, GA 31602-1858 · (229) 241-2800 · Fax (229) 241-0454
Phone(229) 241-2800
Fax(229) 241-0454
Organization SubpartNo
Authorized OfficialRandy J JohnsonAdministrator · (229) 241-2800
Enumeration DateDecember 26, 2006
Last NPPES UpdateJune 18, 2010
✔ NPI 1801951454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
220 NORTHSIDE DR, Valdosta, GA 31602
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Other Identifiers 3

Medicare ID-Type UnspecifiedGRP836GA · Grp Number For Medicare
Medicaid300020233AGA
Medicaid300020233BGA

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

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 Compliance 11D0677774

Southern Ob/Gyn Associates PC · Valdosta, GA
Active · expires Jul 24, 2027
CLIA Number11D0677774
Laboratory TypePhysician Office
Certificate Effective DateJuly 25, 2025
Certificate Expiration DateJuly 24, 2027
Laboratory DirectorThomas H. Moseley Jr MD
Laboratory Phone(229) 241-2800
Laboratory LocationSouthern Ob/Gyn Associates PC220 Northside Drive, Valdosta, GA 31602
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 6

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

ASHLEY BARKER CMN
Advanced Practice Midwife
220 NORTHSIDE DR
VALDOSTA, GA 31602
Lowndes County (229) 241-2800
HANNAH DAVIS WILLS
Advanced Practice Midwife
220 NORTHSIDE DR
VALDOSTA, GA 31602
Lowndes County (229) 241-2800
MRS. BLAIR ELIZABETH TOMLINSON NP-C
Nurse Practitioner (Family)
220 NORTHSIDE DR
VALDOSTA, GA 31602
Lowndes County (229) 241-2800
STACEY C REID CNM
Advanced Practice Midwife
220 NORTHSIDE DR
VALDOSTA, GA 31602
Lowndes County (229) 241-2800
MADELINE MARIE JOHNSON FNP-C
Nurse Practitioner (Family)
220 NORTHSIDE DR
VALDOSTA, GA 31602
Lowndes County (229) 241-2800
TERESA W JOHNSON CNM
Advanced Practice Midwife
220 NORTHSIDE DR
VALDOSTA, GA 31602
Lowndes County (229) 241-2800

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 Southern Ob Gyn Associates P C's NPI number?

The NPI number for Southern Ob Gyn Associates P C is 1801951454. It was assigned to this organization in the NPPES registry on December 26, 2006.

Where is Southern Ob Gyn Associates P C located?

Southern Ob Gyn Associates P C is located at 220 Northside Dr, Valdosta, GA 31602. The listed phone number is (229) 241-2800.

What is Southern Ob Gyn Associates P C's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Southern Ob Gyn Associates P C hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 11D0677774) is associated with this NPI, valid through July 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southern Ob Gyn Associates P C was last updated on June 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.