Valdosta State University
NPI 1962787804 · Sports Medicine (Orthopaedic Surgery) Physician · Valdosta, GA
Valdosta State University is a Sports Medicine (Orthopaedic Surgery) Physician organization in Valdosta, GA (NPI 1962787804).
Provider details
- NPI number
- 1962787804
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jay Johnson, Head Athletic Trainer(229) 333-5897
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Athletic Trainer2255A2300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
Other names (DBA / former)
- Doing business as
- Valdosta State University Sports Medicine
Registry dates
- Enumerated
- 2011-10-11
- Last updated
- 2022-12-19
- Certified
- 2022-12-19
Frequently asked questions
- What is Valdosta State University's NPI number?
- Valdosta State University's National Provider Identifier (NPI) is 1962787804, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Valdosta State University?
- Valdosta State University is classified in the NPPES registry as Sports Medicine (Orthopaedic Surgery) Physician (Allopathic & Osteopathic Physicians).
- Where is Valdosta State University located?
- Valdosta State University's practice location on file with NPPES is 1500 N Patterson St, Valdosta, GA 31698-0100.
- What is Valdosta State University's phone number?
- The practice phone number listed in the NPPES registry for Valdosta State University is (229) 333-5897.
- Who is the authorized official for Valdosta State University?
- The authorized official listed on Valdosta State University's NPPES record is Jay Johnson, Head Athletic Trainer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Valdosta State University's NPI active?
- Yes — Valdosta State University's NPI (1962787804) is active in the NPPES registry as of the last update on 2022-12-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.