SOUTHERN OB GYN ASSOCIATES P C
NPI 1801951454
Obstetrics & Gynecology in Valdosta, GA
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
Specialties & Licenses
Other Identifiers 3
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)
Southern Ob Gyn Associates P C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
65Medicare enrollment records show 65 clinicians reassign Medicare billing to Southern Ob Gyn Associates P C, which bills Medicare for the services they deliver. Of these, 17 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 65Source: 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 Compliance 11D0677774
Southern Ob/Gyn 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 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.
Is Southern Ob Gyn Associates P C enrolled in Medicare?
Yes. Southern Ob Gyn Associates P C is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Ob Gyn Associates P C?
According to the CMS Revalidation Reassignment List (October 2026 release), 65 clinicians in 4 Medicare specialties reassign their Medicare billing to Southern Ob Gyn Associates P C. 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 Obstetrics/Gynecology (39), Diagnostic Radiology (16) and Certified Nurse Midwife (CNM) (5). Of these, 17 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
What insurance does Southern Ob Gyn Associates P C accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Southern Ob Gyn Associates P C 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 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.
# Southern Ob Gyn Associates P C · NPI 1801951454
Obstetrics & Gynecology organization in Valdosta, Georgia. Organization record, active in the CMS NPPES registry since December 26, 2006.
## Identity
- **NPI:** 1801951454 (Entity type: Organization)
- **Enumerated:** December 26, 2006
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **Organization subpart:** No
- **Authorized official:** Randy Johnson, ADMINISTRATOR
## Practice location
- **Address:** 220 NORTHSIDE DR, Valdosta, GA 31602-1858
- **Phone:** (229) 241-2800 · **Fax:** (229) 241-0454
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 65 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Obstetrics/Gynecology (39), Diagnostic Radiology (16), Certified Nurse Midwife (CNM) (5); 17 practice within 10 miles; [full list](https://npiprofile.com/npi/1801951454/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 18, 2010
- **Other identifiers:** Medicare ID-Type Unspecified GRP836 (GA); Medicaid 300020233A (GA); Medicaid 300020233B (GA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1801951454) · Data from the CMS NPPES public registry.