NPI age
18 years
Enumerated 2007-08-07
● Active Type 2 · Organization
Jose Medina MD Pc
Jose Medina MD Pc is 1 of 318 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Medina
Owner
Last NPPES update
2010-06-15
Source: monthly bulk 2026-05
How this organization compares
Across 318 active clinic/center providers in Georgia.
NPI age
18 years
↑ 12 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-08Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
3334 Greystone Way
Valdosta, GA 316051096
Mailing address
Po Box 3550
Valdosta, GA 316043550
Authorized official
Jose Medina, MD
Owner
📞 2292471667
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Juan Guarderas, MD Allergy & Immunology NPI 1902893290
- Jose Medina, MD Internal Medicine NPI 1417944513
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00686507C |
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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