Healthsource Medical Clinic PC
NPI 1619271103 · Family Nurse Practitioner · Valdosta, GA
Healthsource Medical Clinic PC is a Family Nurse Practitioner organization in Valdosta, GA (NPI 1619271103).
Provider details
- NPI number
- 1619271103
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Cristi Godwin, President(229) 245-1004
- License
- RN130256 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
- 2010-12-27
- Last updated
- 2016-01-13
Frequently asked questions
- What is Healthsource Medical Clinic PC's NPI number?
- Healthsource Medical Clinic PC's National Provider Identifier (NPI) is 1619271103, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Healthsource Medical Clinic PC?
- Healthsource Medical Clinic PC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Healthsource Medical Clinic PC located?
- Healthsource Medical Clinic PC's practice location on file with NPPES is 1609 Norman Dr, Valdosta, GA 31601-3753.
- What is Healthsource Medical Clinic PC's phone number?
- The practice phone number listed in the NPPES registry for Healthsource Medical Clinic PC is (229) 245-1004.
- Who is the authorized official for Healthsource Medical Clinic PC?
- The authorized official listed on Healthsource Medical Clinic PC's NPPES record is Cristi Godwin, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Healthsource Medical Clinic PC's NPI active?
- Yes — Healthsource Medical Clinic PC's NPI (1619271103) is active in the NPPES registry as of the last update on 2016-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.