Jose Medina MD PC
NPI 1407047269 · 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)
Jose Medina MD PC is a Multi-Specialty Clinic/Center organization in Valdosta, GA (NPI 1407047269).
Provider details
- NPI number
- 1407047269
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jose Medina, Owner(229) 247-1667
- License
- 041166 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2007-08-07
- Last updated
- 2010-06-15
Frequently asked questions
- What is Jose Medina MD PC's NPI number?
- Jose Medina MD PC's National Provider Identifier (NPI) is 1407047269, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jose Medina MD PC?
- Jose Medina MD PC is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Jose Medina MD PC located?
- Jose Medina MD PC's practice location on file with NPPES is 3334 Greystone Way, Valdosta, GA 31605-1096.
- What is Jose Medina MD PC's phone number?
- The practice phone number listed in the NPPES registry for Jose Medina MD PC is (229) 247-1667.
- Does Jose Medina MD PC accept Medicare?
- Jose Medina MD PC 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 Jose Medina MD PC?
- The authorized official listed on Jose Medina MD PC's NPPES record is Jose Medina, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jose Medina MD PC's NPI active?
- Yes — Jose Medina MD PC's NPI (1407047269) is active in the NPPES registry as of the last update on 2010-06-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.