Sgmc Affiliated Services LLC
NPI 1114740362 · Multi-Specialty Clinic/Center · Valdosta, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sgmc Affiliated Services LLC is a Multi-Specialty Clinic/Center organization in Valdosta, GA (NPI 1114740362).
Provider details
- NPI number
- 1114740362
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Olaf Faeskorn, Vp Revenue Cycle(229) 259-4749
Specialties & taxonomies
Ambulatory Health Care Facilities
- Urgent Care Clinic/Center261QU0200X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (3)
- 520 Griffin Ave Ste aValdosta, GA 31601-6331Phone: (229) 433-7340Fax: (229) 433-7349
- 4280 N Valdosta RdValdosta, GA 31602-6814Phone: (229) 433-8000
- 4256 N Valdosta RdValdosta, GA 31602-6814Phone: (229) 433-8200
Registry dates
- Enumerated
- 2024-11-06
- Last updated
- 2025-11-04
- Certified
- 2025-11-04
Frequently asked questions
- What is Sgmc Affiliated Services LLC's NPI number?
- Sgmc Affiliated Services LLC's National Provider Identifier (NPI) is 1114740362, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sgmc Affiliated Services LLC?
- Sgmc Affiliated Services LLC is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Sgmc Affiliated Services LLC located?
- Sgmc Affiliated Services LLC's practice location on file with NPPES is 2501 N Patterson St, Valdosta, GA 31602-1735.
- What is Sgmc Affiliated Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Sgmc Affiliated Services LLC is (229) 433-1000.
- Does Sgmc Affiliated Services LLC accept Medicare?
- Sgmc Affiliated Services LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Sgmc Affiliated Services LLC?
- The authorized official listed on Sgmc Affiliated Services LLC's NPPES record is Olaf Faeskorn, Vp Revenue Cycle. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sgmc Affiliated Services LLC's NPI active?
- Yes — Sgmc Affiliated Services LLC's NPI (1114740362) is active in the NPPES registry as of the last update on 2025-11-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.