OrganizationActive
Destiny Medical Services, Inc
NPI 1508293465 · Physical Medicine & Rehabilitation Physician · Valdosta, GA
Provider details
- NPI number
- 1508293465
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stacey Willingham, Ceo'(404) 964-1474
- License
- 41426 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
2804 N Oak St
Valdosta, GA 31602-5914
Phone: (229) 241-8925
Fax: (229) 241-9165
Street-level locationGet directions
Mailing address
2774 N Cobb Pkwy
Kennesaw, GA 30152-3469
Registry dates
- Enumerated
- 2013-10-08
- Last updated
- 2013-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.