Individual provider Active NPI

Jason Boyd Langley, FNP-BC

  • Family Nurse Practitioner
  • Valdosta, GA
National Provider Identifier
1194471060
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN244679 Issued in GA
Practice address
2501 N Patterson St
Valdosta, GA 31602-1785
Phone
(229) 259-4678
NPI assigned
Mar 1, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN244679 GA Primary

Addresses

Primary practice location

2501 N Patterson St
Valdosta, GA 31602-1785

Mailing address

55 Gatling Way
Lakeland, GA 31635-5270
Phone (229) 344-5364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220517003288 GA Practitioner - Nurse Practitioner 2668859497 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SGMC Affiliated Services LLCGroup PAC ID 5496284028, 41 clinicians

Practice addresses (Care Compare)

4256 N Valdosta Rd
Valdosta, GA 31602-6814
Phone (229) 433-8200

Hospital & facility affiliations

  • SGMC Health Hospital, Valdosta, GA, CCN 110122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN244679GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SGMC Affiliated Services LLC CurrentSince Jan 1, 2025 Accepting new patients
South Georgia Emergency Medicine Associates PC CurrentSince May 19, 2022 Accepting new patients
SGMC Physician Network Inc CurrentSince May 1, 2022 Accepting new patients

Locations

4280 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 433-7350

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

4256 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 242-1234

520 Griffin Ave
Ste A
Valdosta, GA 31601
Phone (229) 433-7340

Organizations & group practices 3

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

Hospital & facility affiliations 1

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": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1194471060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 GATLING WAY",
            "city": "LAKELAND",
            "state": "GA",
            "postal_code": "316355270",
            "telephone_number": "229-344-5364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N PATTERSON ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021785",
            "telephone_number": "229-259-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGLEY",
        "first_name": "JASON",
        "middle_name": "BOYD",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN244679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.