VALDOSTA STATE UNIVERSITY SPORTS MEDICINE
NPI 1962787804
Orthopaedic Surgery - Sports Medicine in Valdosta, GA

Q: What is Valdosta State University's NPI number?

The NPI number for Valdosta State University is 1962787804. It was assigned to this organization in the NPPES registry on October 11, 2011. The provider is doing business as Valdosta State University Sports Medicine.

Q: What is Valdosta State University's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Active since October 11, 2011

1500 N PATTERSON ST, VALDOSTA, GA 31698(229) 333-5897 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 19, 2022, May 23, 2019 (2 updates tracked since 2019).

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About Valdosta State University Sports Medicine NPPES

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

VALDOSTA STATE UNIVERSITY SPORTS MEDICINE (NPI 1962787804) is a healthcare organization registered as a sports medicine in Valdosta, Georgia and active in the NPI registry since October 2011. The organization lists Jay Johnson, Head Athletic Trainer, as its authorized official.

NPPES Registry Identity

NPI1962787804

Entity TypeOrganization

Primary Taxonomy207XX0005X

Legal Business NameVALDOSTA STATE UNIVERSITY

Location Address1500 N PATTERSON STValdosta, GA 31698-0100

Mailing Address1500 N Patterson StValdosta, GA 31698-0100

Phone(229) 333-5897

Organization SubpartNo

Authorized OfficialJay JohnsonHead Athletic Trainer · (229) 333-5897

Enumeration DateOctober 11, 2011

Last NPPES UpdateDecember 19, 20222 updates tracked since enumeration

NPPES CertifiedDecember 19, 2022

✔ NPI 1962787804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X

1500 N PATTERSON ST, Valdosta, GA 31698

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Other Names 1

Doing Business AsValdosta State University Sports Medicine

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

Other Providers at the Same Location NPPES 12

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

JOSHUA HOFFMANN

Specialist/Technologist (Athletic Trainer)

1500 N PATTERSON ST
VALDOSTA, GA 31698

Lowndes County (229) 333-5800

EMILY C HOYT

Specialist/Technologist (Athletic Trainer)

1500 N PATTERSON ST
VALDOSTA, GA 31698

Lowndes County (229) 333-5800

MS. STACEY DIANE WALTERS ATC

Specialist/Technologist (Athletic Trainer)

1500 N PATTERSON ST, DEPT. KPE
VALDOSTA, GA 31698

Lowndes County (229) 293-6071

ART DEWAYNE FREEMAN II

Specialist/Technologist (Athletic Trainer)

1500 N PATTERSON ST
VALDOSTA, GA 31698

Lowndes County (225) 333-5848

CHASE KRIEBEL ATC

Specialist/Technologist (Athletic Trainer)

1500 N PATTERSON ST
VALDOSTA, GA 31698

Lowndes County (229) 333-5897

KARLA TIMBANG

Social Worker

1500 N PATTERSON ST
VALDOSTA, GA 31698

Lowndes County (229) 219-3550

MR. CHUCK CONNER L.A.T., A.T.C.

Specialist/Technologist (Athletic Trainer)

1500 N PATTERSON ST, VALDOSTA STATE UNIVERSITY, DEPT. KSPE
VALDOSTA, GA 31698

Lowndes County (229) 333-5354

JESSICA HOPE MILLICAN LMFT

Marriage & Family Therapist

1500 N PATTERSON ST
VALDOSTA, GA 31698

Lowndes County (229) 293-6266

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 Valdosta State University's NPI number?

The NPI number for Valdosta State University is 1962787804. It was assigned to this organization in the NPPES registry on October 11, 2011. The provider is doing business as Valdosta State University Sports Medicine.

Where is Valdosta State University located?

Valdosta State University is located at 1500 N Patterson St, Valdosta, GA 31698. The listed phone number is (229) 333-5897.

What is Valdosta State University's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

When was this NPI record last updated?

The NPPES record for Valdosta State University was last updated on December 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.