NPIMap

Individual provider Active NPI

Elving Colon, MD

  • Family Medicine Physician
  • Valdosta, GA
National Provider Identifier
1104051119
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
67205 Issued in GA
Practice address
2707 N Barack Obama Blvd
Valdosta, GA 31602-2057
Phone
(229) 316-8116
NPI assigned
May 19, 2009
Last updated
Jun 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 67205 GA Primary

Addresses

Primary practice location

2707 N Barack Obama Blvd
Valdosta, GA 31602-2057

Mailing address

2707 N Barack Obama Blvd
Valdosta, GA 31602-2057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120621000651 GA Practitioner - Family Practice 6800051996 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southland Bainbridge Hospitalist Group, LLCGroup PAC ID 7214248335, 54 clinicians

Practice addresses (Care Compare)

101 Yorktown Dr
Fayetteville, GA 30214-1578

101 Yorktown Dr
Suite 100
Fayetteville, GA 30214-7663
Phone (770) 460-4285

1500 E Shotwell St
Bainbridge, GA 39819-4256
Phone (229) 236-0831

951 S Broad St
Thomasville, GA 31792-6161
Phone (229) 228-4130

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC Family Medicine CurrentSince Jan 16, 2017 Accepting new patients
South Central Primary Care Center, Inc CurrentSince Feb 17, 2026 Accepting new patients
Southland Bainbridge Hospitalist Group, LLC CurrentSince Sep 29, 2015 Accepting new patients
Privia Medical Group of Georgia LLC Family Medicine CurrentSince Jan 16, 2017 Accepting new patients
Thomasville Family Medicine Center, LLC Family Medicine Current Accepting new patients
Pathology Associates, P.C. Current Accepting new patients
South Central Primary Care Center, Inc CurrentSince Feb 17, 2026 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
South Central Primary Care Center, Inc Past Accepting new patients

Locations

1500 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-6100

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

201 N Bartow St
Nashville, GA 31639
Phone (229) 686-2774

915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575

951 S Broad St
Thomasville, GA 31792
Phone (229) 228-4130

Interoperability endpoints

  • Direct secure messaging: elving.colon.1@8042.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1104051119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 N BARACK OBAMA BLVD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 N BARACK OBAMA BLVD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022057",
            "telephone_number": "229-316-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON",
        "first_name": "ELVING",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-19",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "67205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.