NPI age
17 years
Enumerated 2008-11-12
● Active
Type 1 · Individual
Justin Mark Booth, AA
Booth is 1 of 11 anesthesiologist assistant providers in Valdosta and 1 of 1530 in Georgia.
Primary specialty
Anesthesiologist Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2008-11-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1530 active anesthesiologist assistant providers in Georgia.
NPI age
17 years
↑ 5 yr above median (12 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
22% of peers hold subspecialties
NPI lifetime · 2008 → 2026
2008-11Enumerated in NPPES
2008
2026
Where they practice
Practice location
2310 N Patterson St, Bldg C
Valdosta, GA 316022568
Mailing address
2310 N Patterson St, Bldg C
Valdosta, GA 316022568
Specialties
-
Anesthesiologist Assistant PrimaryAn individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 005470 | GEORGIA LICENSE |
Practice context
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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