NPI age
15 years
Enumerated 2010-12-27
● Active Type 2 · Organization
Healthsource Medical Clinic Pc
Healthsource Medical Clinic Pc is 1 of 8826 nurse practitioner organizations in Georgia.
Primary specialty
Nurse Practitioner
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Godwin
President
Last NPPES update
2016-01-13
Source: monthly bulk 2026-05
How this organization compares
Across 8826 active nurse practitioner providers in Georgia.
NPI age
15 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2010 → 2026
2010-12Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
1609 Norman Dr, Ste A-1
Valdosta, GA 316013753
Mailing address
1609 Norman Dr, Ste A-1
Valdosta, GA 316013753
Authorized official
Cristi Leigh Godwin, NP-C
President
📞 2292451004
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Cristi Godwin, NP-C Nurse Practitioner NPI 1407824832
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Practice context
Multi-provider organization. 1 individual provider 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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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.